Healthcare Systems Revenue Cycle Compliance Auditor

UnitedHealth Group•Eden Prairie, MN

1d•$91,700 - $163,700•Remote

About The Position

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together. Quality at UnitedHealth Group means striving for excellence in everything we do in order to help us achieve our Mission. Simply put, it’s in our DNA and why we’re in business — to help people. Our Mission serves as our why; our Values unite us around how we will achieve it. Because when we follow our Mission and live our Values, we deliver Quality. We are seeking a detail-oriented and analytical professional to join our team as a Healthcare System Revenue Cycle Compliance Auditor. This role is responsible for planning and conducting audits of financial, operational, and compliance processes across the revenue cycle. The ideal candidate will have a strong understanding of healthcare regulations, exceptional data analysis skills, and the ability to identify and mitigate compliance risks. They will collaborate closely with business leaders and compliance teams to ensure operational integrity, regulatory adherence, and continuous process improvement. A successful candidate will be proactive, highly organized, and committed to delivering high-quality, value-added audit services. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

5+ years of experience with hospital Revenue Cycle process knowledge gained through management or audit experience
5+ years of experience in process auditing, including data acquisition and analytics, workpaper preparation, professional report writing and process visualizations
Exceptional data analysis capabilities to interpret complex information and identify trends or risks
Expertise in researching and auditing to Federal and State regulations, payer guidelines, regulatory agency publications and industry standards for hospitals and physician practices
Professional designation in one or more of the following areas or similar: Certified Healthcare Internal Auditor Professional (CHIAP), Certified Internal Auditor (CIA), Certified Public Accountant (CPA)

Nice To Haves

Experience with EPIC, MS4, Meditech, SMS Invision, Cerner, Star and other Healthcare platforms or technologies
Advanced level of proficiency with MS Word, Excel and PowerPoint
Advanced level of proficiency with project management strategies
Significant experience communicating verbally and in writing with all levels of managing including executives

Responsibilities

Plan, organize, and conduct financial, operational, and compliance audits of the revenue cycle
Evaluate front-end and back-end revenue cycle processes to identify compliance risks and strengthen controls
Perform risk assessments to identify and prioritize audit focus areas
Prepare clear, concise, and objective audit reports with findings, observations, and recommended corrective actions
Ensure adequacy and timely completion of corrective action plans
Monitor implementation of corrective actions and provide consultation as needed
Identify business risks and recommend efficiency improvements
Stay current on healthcare regulations and compliance trends
Research and synthesize regulatory information for stakeholders in an understandable format
Develop and maintain strong working relationships with compliance leadership, legal teams, and subject matter experts
Partner with business leaders and functional owners to support compliance initiatives
Deliver high-quality work products consistently
Contribute to team goals and suggest improvements to compliance processes