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Director Monitoring and Auditing - AdventHealth

Location Address: 602 COURTLAND ST, Orlando, 32804

Work Hours/Shift:

Full Time Monday - Friday 8:00am - 5:00pm

You Will Be Responsible For:

Job Summary:

Responsible for implementation of the compliance auditing and monitoring program for the various facilities and business lines within the assigned Region. Job responsibilities include audit planning and implementation of compliance auditing and monitoring activities. The responsibilities require periodic visits to the Corporate Office for training as well as travel to the facilities within

Ability to understand the healthcare regulatory environment to identify key risk and audit areas. [Required]

Ability to translate healthcare regulatory environment, requirements, etc. into comprehensive audit plans and tools for audit completion and reporting. [Required]

Familiarity and experience with electronic medical record (EMR) and billing systems and reporting. [Required]

Ability to use data analytics to facilitate compliance and auditing and monitoring activities and reporting. [Required]

Ability to effectively communicate (verbally and written) with senior leadership and all other levels of personnel throughout the organization.[Required]

Ability to understand key areas that interact with Compliance, including revenue cycle, billing and coding, and physician compensation practices. [Required]

Diplomacy, tact, and calm in difficult situations and emotional intelligence to understand direct and indirect interpersonal dynamics to promote optimal outcomes in problem solving and issue management. Maintains composure in difficult conversations (in person and via email). Ability to frame compliance requirements in a manner that promotes understanding and acceptance focusing on the value of compliance as a strategic benefit. [Required]

Exhibit proven organizational skills in compliance and audit related activities.

Ability to maintain a high level of integrity and confidentiality. [Required]

Ability to travel within the Region itself and occasionally to the AdventHealth Corporate Office. [Required] Knowledge of the culture and working environment at AdventHealth is helpful. [Preferred]

Knowledge of Epic EMR and billing system and reporting. [Preferred]

In collaboration with Compliance Department leadership, implement AdventHealths auditing and monitoring program across all facilities in assigned Region.

Facilitate monitoring and auditing activity for the various compliance topics in assigned Region. Coordinate external audits in conjunction with the AdventHealth Corporate Compliance Department, as necessary.

Monitor key regulatory changes and government audit and enforcement activities for the purpose of identifying potential compliance risks and audit opportunity areas.

Contribute to company-wide and region-specific compliance risk assessment and audit work plan development.

Develop audit scope documentation, audit tools, and audit reports consistent with Compliance Department guidance and protocols. Lead audit work when needed for the investigation and resolution of compliance matters.

Coordinate the submission of monitoring and auditing documentation to the Corporate Compliance Department to confirm compliance with elements of the monitoring and auditing plan.

Participate in regular meetings with the Corporate Compliance Department and corporate offices.

Present to regional designated entity(s) Compliance Committee(s) on compliance monitoring and auditing activities. Attend local leadership meetings within assigned Region.

Participate in regular update meetings with senior leadership within assigned Region. Provide oversight of compliance staff, if assigned to Region. Other responsibilities as assigned.

Qualifications

What You Will Need:

EDUCATION REQUIRED** **:

Bachelor degree in accounting, business, health care administration or related field

EXPERIENCE REQUIRED** **:

Field of Study: Bachelor's in Accounting/Audit, Business or Healthcare Administration, Nursing, Law or other healthcare related field Work Experience:

5 years healthcare compliance audit experience at a management level. [Required]

Experience in hospital compliance and/or physician practice/medical group compliance, coding and/or operations and/or post-acute compliance, depending on assigned Division. [Required]

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

**Category:** Accounting/Finance

**Organization:** AdventHealth Orlando

**Schedule:** Full-time

**Shift:** 1 - Day

**Req ID:** 25039182

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.