Senior Internal Auditor-HIM/Coding

American Addiction Centers • Oak Brook, IL

2d • $41 - $62

About The Position

Design, coordinate, and conduct independent audits that monitor the hospital and clinic activities and protocols of Advocate Health in accordance with applicable laws, rules, and regulations. Knowledge of revenue cycle function and the translation of patient care to documentation, including advanced coding and clinical knowledge. Certification in CCS, CPC, CRC, or RHIA/RHIT is a plus. Proficiency with technology including ability to navigate electronic health record systems. Identifies operational and patient safety matters related to policy, accreditation, and federal regulatory standards. Researches and understands clinical workflows in hospital and clinic settings.

Requirements

• Bachelor's Degree in Accounting or related field.
• Typically requires 5 years of experience in auditing with a focus on identifying, documenting, and analyzing audit findings, recommending opportunities for improvement, and experience in leading audits.
• Proven ability to communicate with all levels of management.
• Ability to plan and organize work in a fast paced environment.
• Ability to successfully plan and complete new projects that have never been tried or tested previously.
• Ability to function independently and work with a team.
• Full understanding of the audit lifecycle.
• Ability to discern specific departmental and organizational needs and requirements for improvement in operations and internal system controls.
• Expertise in leading projects and project management, including leading audit planning and identifying key project activities.
• Proficiency in Microsoft Office (Word, Excel, PowerPoint) or similar products with ability to learn new applications.
• Certified Public Accountant (CPA) issued by a State Board of Accountancy, or Information Systems Auditor (CISA) certification issued by Information Systems Audit and Control Association (ISACA), or Internal Auditor (CIA) certification issued by The Institute of Internal Auditors (IIA).

Nice To Haves

• Certification in CCS, CPC, CRC, or RHIA/RHIT is a plus.
• Knowledge of revenue cycle function and the translation of patient care to documentation, including advanced coding and clinical knowledge.
• Proficiency with technology including ability to navigate electronic health record systems.

Responsibilities

• Leads and performs complex internal audits and coordinates related large-scale projects.
• Identifies, documents, and analyzes audit findings and develops audit programs that address and test identified key risks.
• Performs follow-up audits and monitoring to ensure appropriate adherence to policies and procedures.
• Monitors compliance with regulations and controls by examining and analyzing records, reports, operating practices, and documentation.
• Evaluates opportunities for improvement, develops recommendations, and presents improvement opportunities/audit findings to leadership.
• Acts as a resource to educate, consult and collaborate with staff on various audit related topics.
• Guides and educates departments on methods to decrease risk and increase compliance in organizational-wide programs, policies, and procedures.
• Assists the independent external auditors by gathering information, answering questions, executing testing, coordinating any further assistance needed, and performing related projects.
• Assists with establishment of annual audit plans by leading discussions with management to identify timing, scope and objectives of audits.
• Assists with the coordination of risk models/assessments to identify and develop an audit plan to address potential risks for specific audit scope areas.
• Ensures alignment of audit and project plans with risk assessment.

Benefits

• Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
• Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance
• Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Senior