Summary

The Healthcare Compliance Internal Auditor performs program and compliance related audits of Mary Free Bed Rehabilitation Hospital’s health care related activities, programs, and enterprises to ensure adequate internal controls are in place or put in place to safeguard the organization’s resources and ensure that programs are functioning in compliance with all policies, procedures, laws, and regulations. The Healthcare Compliance Internal Auditor role is also central to risk assessment and management needed to identify, correct, prevent, and educate such that compliance risk is reduced throughout the Mary Free Bed System. The Healthcare Compliance Internal Auditor is a central role that drives a positive corporate culture of compliance. The Healthcare Compliance Internal Auditor reports to Compliance Officer with a dotted line to the CFO.

Essential Job Responsibilities

• Perform compliance audits of healthcare related programs within Mary Free Bed Rehabilitation Hospital and its network enterprises.
• Develop and execute audit plans and prepares detailed audit work processes.
• Prepare written reports of audit and audit findings to include audit recommendations.
• Perform compliance testing of transactions and program operations to ensure conformance with approved regulations, policies, procedures, grant requirements and laws.
• Assist with installation of internal control procedures.
• Assist in coordinating responses to audit findings by external auditors, monitors, evaluators, etc.
• Obtain Statistics and Information Necessary to Accurately Maintain an Audit Risk System:
  • o Collect accurate and consistent information needed to maintain a risk assessment system for all auditable areas, as established.
  • o Demonstrate knowledge of the risk assessment system by identifying valid information and significant changes.
• Maintain awareness of changes in auditing principles and practices and related areas in order to maintain professional competence.
  • o Comply with the standards of professional practice and internal auditing as established by the Institute of Internal Auditors.
• Focus on improving education, communication, and inter-team relationships.
• Perform other related duties as assigned.
• Embrace Diversity, Equity and Inclusion, by:
  • Treating everyone with dignity and respect
  • Opening more doors to opportunities for underrepresented cultures
  • Growing talent and people
  • Evaluating and eliminating disparities
  • Taking action against injustices, bias and racism
  • Honoring our differences and how to collaborate
  • Educating staff, patients and the communities we care for
  • Restoring Hope and Freedom, together

Customer Service Responsibilities

Demonstrate excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information.

Responsibilities in Quality Improvement

Contribute by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service.

Essential Job Qualifications

• Bachelor’s degree in business or health management or equivalent work experience.
• Minimum 2-5 years of work experience in health care
• Extensive knowledge of healthcare compliance policies, programs, practices, standards and related compliance issues
• Advanced knowledge of compliance and auditing principles, theories and concepts
• Auditing, Compliance, Healthcare billing and/or coding certification preferred.
• Knowledge of billing procedures and systems.
• Demonstrated experience and success with customer service principles with a diverse group of people
• Possesses organizational, communication and complex problem-solving skills
• Experience with computers and application software
• Works independently and with minimal direction.
• Works efficiently and with flexibility in high-stress and fast-paced situations.
• Participates as a collaborative team member to maximize group effectiveness.
• Maintaining confidentiality of MFB Health records and systems

Physical Requirements for Essential Job Qualification

Levels:

• None (No specific requirements)
• Occasionally (Less than 1/3)
• Frequently (1/3 to 2/3)
• Majority (More than 2/3)

• Remain in a stationary position: Frequently
• Traverse or move around work location: Occasionally
• Use keyboard: Majority
• Operate or use department specific equipment: Occasionally
• Ascend/Descend equipment or ladder: None
• Position self to accomplish the Essential Functions of the role: Occasionally
• Receive and communicate information and ideas for understanding: Frequently
• Transport, position, and/or exert force:
  • Up to 10 pounds: Occasionally
  • Up to 25 pounds: None
  • Up to 50 pounds: None
  • Up to 75 pounds: None
  • More than 100 pounds: None

The above statements are intended to describe the general nature and level of work being performed by employees in this classification. If you require a reasonable accommodation to perform the essential functions of this position, you must request accommodation in writing, within 182 days after you know or should know of the need for accommodation.

Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.