Senior Healthcare Auditor
Location
Allentown, PA | United States
Job description
Senior Healthcare Auditor
Allentown, PA
Pay Rate $60 - $70/HR
Jefferson Wells is working with a leading provider of healthcare services dedicated to delivering quality care to their patients. As part of our continuous efforts to ensure compliance and efficiency within our client’s organization, we are seeking a highly skilled Senior Healthcare Auditor to join our team for a 6-month project.
Position Overview
As a Senior Healthcare Auditor, you will play a crucial role in evaluating and ensuring the accuracy, compliance, and efficiency of our healthcare services. You will be responsible for conducting comprehensive audits of financial records and operational procedures to identify areas for improvement and mitigate risks. The ideal candidate will have extensive experience in healthcare auditing, strong analytical skills, and a deep understanding of regulatory requirements in the healthcare industry.
Key Responsibilities
- Conduct thorough audits to ensure compliance with applicable laws, regulations, and industry standards.
- Analyze data and trends to identify patterns of non-compliance, fraud, waste, and abuse, and recommend corrective actions.
- Collaborate with cross-functional teams including healthcare providers, billing specialists, compliance officers, and legal counsel to address audit findings and implement corrective measures.
- Develop and maintain audit protocols, policies, and procedures to ensure consistency and effectiveness in auditing practices.
- Provide guidance and training to junior auditors and healthcare staff on compliance requirements, audit methodologies, and best practices.
- Stay current with changes in healthcare regulations, reimbursement policies, and industry trends, and incorporate these updates into audit processes as necessary.
- Prepare detailed audit reports and presentations for management and regulatory agencies, highlighting findings, recommendations, and corrective actions taken.
Qualifications - Bachelor's Degree in Healthcare Administration, Business Administration, Finance, or related field; Master's degree preferred.
- Minimum of 5 years of experience in healthcare auditing, with a focus on compliance, reimbursement, and revenue cycle management.
- CPA or CIA required.
- In-depth knowledge of healthcare laws, regulations, and compliance standards, including HIPAA, Medicare, Medicaid, and third-party payer requirements.
- Strong analytical skills with the ability to interpret complex data and identify trends, anomalies, and areas for improvement.
- Excellent communication and interpersonal skills, with the ability to collaborate effectively with stakeholders at all levels of the organization.
- Detail-oriented with a high degree of accuracy and the ability to manage multiple projects simultaneously.
- Proficiency in Microsoft Office Suite and healthcare auditing software.
Jefferson Wells ( built a reputation for results-driven, innovative workforce solutions that help companies create a competitive advantage. From basic to complex, we custom tailor our services to fit our clients' needs from interim and permanent professional talent resourcing to complete project solutions in the areas of risk advisory, tax and finance & accounting. Our professionals provide specialized industry and technical experience and expertise to our clients, enabling them to accelerate their business performance. We serve clients, including Fortune 500 and Global 1000 companies, from offices worldwide leveraging the workforce capabilities of the ManpowerGroup.
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