The Audit Specialist and Program Coordinator assists the Chief Compliance Officer with program implementation and maintenance, serving as a facilitator for organizational compliance committees and providing staff assistance, as requested, to the leadership committee for compliance. The Audit Specialist conducts compliance reviews, special assignments, and research and advisory projects in order to further ensure compliance with laws and regulations by WHS and its subsidiaries. The Audit Specialist conducts investigations of suspected and known fraudulent or abusive activities. The Audit Specialist is responsible for the development of review programs, completion of test work, and report writing, subject to final approval by the Chief Corporate Compliance Officer. The Audit Specialist will frequently interface with Senior Management and other personnel at all levels of the organization. In addition, the Audit Specialist will have occasional contact with Audit Committee Members, legal counsel, consultants, federal, state, and local agencies, vendors, patients, physicians and their staffs, industry peers, and other parties. This position is project-oriented and not routine; it requires self-motivation, the flexibility to deal with unfamiliar situations, good organizational, interpersonal and communication skills. Most of the projects are "first-time" assignments. This position requires concentration, close attention to detail, objectivity, resourcefulness, the ability to maintain confidentiality of sensitive information, and the ability to work within specified time budgets. This is a salaried professional position. Practice of Internal Auditing, the IIA Code of Ethics, and the HCCA’s Code of Ethics for Compliance Professionals.
Bachelors degree in Healthcare or an experienced Registered Nurse(RN)preferred, Minimum of three (3) years auditing experience preferably as health care compliance auditor or nurse auditor in a hospital setting. Experience and Strong Knowledge of: third party reimbursement, hospital billing and coding, federal/state health care laws/regulations. Personal computer including but not limited to word processing, spreadsheets and audit software. Must relate well to all levels of staff, write clearly and concisely, able to speak well before groups, conduct education. Must maintain confidentiality, able to work independently, able to work in accordance with the ethical standards of the Healthcare Compliance Association (HCCA) and the Institute of Internal Auditors (IIA).
Certification is preferred. Options include CHC or similar compliance certification, or certification in a compliance subspecialty such as CHRC, or CHPC, or RHIA, RHIT or CCS certification .
BLS is required for any RN, LPN, PCT, Patient Transporter or other direct patient care provider. Emergency Department, Intensive Care Units, PACU, Medical Emergency Team and Anesthesia require ACLS. Pediatrics, SICU, Emergency Department and Medical Emergency Team also require PALS.