Internal Auditor - HumanHire

HumanHire is working with a rapidly expanding healthcare management organization with a strong reputation for innovation and excellence in search of an Internal Compliance Auditor for their growing team. This role involves auditing records, identifying inconsistencies, and recommending corrective actions to ensure compliance and prevent future discrepancies.

What we offer:

• Pay: $70,000-75,000/year
• Location: Melville, NY
• Schedule: Monday-Friday
• Benefits: comprehensive benefits package, including a 401(k) plan

Responsibilities:

• Audit records to detect inconsistencies, discrepancies, errors, and issues with coding, billing practices, and documentation. Investigate discrepancies, correct errors, and suggest solutions to prevent recurrence.
• Identify potential risk areas, develop audit strategies, request relevant reports, and recommend corrective actions based on findings.
• Contribute to identifying issues and inefficiencies in project workflows, offering suggestions for improvements and resolutions.
• Conduct follow-up reviews with departments to address unresolved issues and ensure adherence to compliance standards.
• Collect, validate, and analyze project-related data, summarizing insights to support informed decision-making.
• Stay updated on industry trends, regulations, and best practices to maintain a high level of expertise.
• Provide both in-person and virtual training sessions for departments as needed.

Qualifications:

• Must hold one of the following certifications: Certified Professional Coders (CPC), Certified Coding Specialists (CCS), Certified Coding Specialists Physicians (CCSP), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA)
• Proficiency in Epic applications, Microsoft Excel, PowerPoint, and internal ticketing systems
• Strong understanding of medical terminology, ICD-10-CM, CPT guidelines, and relevant regulations (NYS Medicaid, Third-Party, CMS).

If you are interested, please apply to this posting with your resume and a recruiter will reach out within 48 hours if qualified. Thanks!

If this is not the ideal position for you but are still interested in hearing about what other job opportunities are in your area, please visit www.humanhirellc.com and email your resume to jobs@humanhirellc.com!

HumanHire is a national executive search and staffing firm who with a leadership team that has over 50 years of experience as trusted industry professionals specializing in direct hire, temp to hire, temporary and payrolling services. We have cultivated long-lasting relationships and utilize them to connect our candidates and clients in several industries and job functions:

• Human Resources
• Customer Service
• Administration
• Finance & Accounting
• Operations
• Executive Search
• Healthcare
• Information Technologies
• Supply Chain & Logistics
• Legal
• Real Estate
• Sales & Marketing