Compliance Auditor Job Description

Job summary 1

The Compliance Auditor will report to Company’s Provider Coding Compliance Auditor. This role will be responsible for assisting in assigned chart compliance audits and training of Providers at OneOncology partnered practices, as assigned. The person in this role will be responsible for communicating and providing reports, as directed, to the Provider Coding Compliance Auditor, the Vice President of Compliance, the Vice President of Revenue Cycle, practice Revenue Cycle teams, practice Compliance Officers and when requested, practice management teams.

Duties & Responsibilities 1

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Requirements & Skills 1

Job summary 2

We are looking for a highly motivated individual to join our team as a Compliance Auditor. This position is directly involved in negotiating the final determination of financial over-payments and recommending civil monetary penalties levied against providers participating in fraudulent billing practices. The information obtained by this position is used for a variety of activities such as: determination of fines, restitution and cost avoidance; internal deliberation's regarding settlement amounts for fines and restitution, participate in the decisions regarding opening and closing of criminal and civil investigations.

Duties & Responsibilities 2

Requirements & Skills 2

Job summary 3

The Compliance Auditor leads audits, assessments, and regulatory readiness activities across the corporation. Participate in cross-divisional activities to integrate information from compliance audits and assessments and regulatory trends that may impact Company Divisions.

Duties & Responsibilities 3

Requirements & Skills 3

Job summary 4

Reporting to the Chief Compliance Officer, the Compliance Auditor will contribute to the overall success of the company's corporate compliance programs.

Duties & Responsibilities 4

Requirements & Skills 4

Job summary 5

As a Compliance Auditor, you will perform compliance audits (generally in the field at employer locations) for various fringe benefit funds to determine if an employer is contributing properly to the benefit funds. Initial assignments will include assisting experienced compliance auditors on audit engagements and performing a wide range of audit support functions.

Duties & Responsibilities 5

Requirements & Skills 5

Job summary 6

Compliance Auditor performs fair, value-added audits, and consulting services to help ensure goals and performance objectives of the corporation are met and ensure compliance with standards and regulatory expectations.

Duties & Responsibilities 6

Requirements & Skills 6

Job summary 7

The Compliance Auditor maintain time sensitive, confidential information of guest and documentation. Reconcile assigned compliance, revenue, and cost center paperwork.

Duties & Responsibilities 7

Requirements & Skills 7

Job summary 8

The Compliance Auditor is a highly visible operational position of the Corporate Quality Compliance Team. The role of the Compliance Auditor is to ensure that the company is adhering to all GMPs, FDA Regulations and Guidelines, state, federal, and local laws applicable to the business. The incumbent manages Company’s Internal Audit and Vendor Audit Programs for GMP, GDP and GLP compliance, working closely with the operational functions to define and review processes, procedures, and systems to be audited annually. The incumbent c oordinates and develops with GXP operational groups and Quality Systems a holistic Quality auditing strategy.

Duties & Responsibilities 8

Requirements & Skills 8

Job summary 9

The Compliance Auditor is responsible for conducting internal audit and inspection assignments as defined by audit schedule. Contributor in assessing the overall compliance status of the facilities’ Quality Systems and Sub-Systems as well as supporting the overall success of hosted inspections. When serving as the lead auditor, provide mentorship capacity to other members of the audit team as needed. This individual will function as a compliance resource.

Duties & Responsibilities 9

Requirements & Skills 9

Job summary 10

The Compliance Auditor is well versed in healthcare regulations, policies, and procedures, and serves as a protector of revenue for the Healthcare System through the completion of formal audits and the provision of various advisory/consultative services. These audits provide insight into processes, internal controls, and related risk, and assist in preventing, detecting, and correcting risks of non-compliance. The Compliance Auditor reports on the results of audits and projects using knowledge of best practices to identify issues to improve business operations and minimize risk, and serves as a technical resource on documentation, coding, billing, and general compliance questions. Identifying, analyzing, and assessing complex enterprise-wide environment, responding to regulatory compliance inquiries and issues, and addressing compliance program needs are also functions of this position. The ideal candidate has excellent leadership and analytical thinking skills; excellent verbal and written communication skills; is flexible and adaptable; and experienced leading and managing compliance initiatives through teamwork, collaboration and open communication.

Duties & Responsibilities 10

Requirements & Skills 10

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