Senior Compliance Auditor - Work From Home

Company: Sutter Health
Location: Roseville
Posted on: May 11, 2022

Job Description:

Position Overview:This role has a work from home option. Employee must live in California and come on site as needed for meetings. -Senior Compliance Auditor specializing in Risk Adjustment Factor (RAF) and Hierarchical Condition Category (HCC) Coding Compliance -The Senior Compliance Auditor will have primary responsibility for leading a variety of independent assurance and consulting projects covering the operational, regulatory, and reporting processes of Sutter Health and its Affiliates' functions related to RAF and HCC coding compliance and other compliance topics. - Leading these projects consists of establishing project objectives and scope, developing and complying with project budgets and timelines, coordinating engagement team members, writing reports, ensuring quality of project deliverables, and facilitating effective communication and coordination with client management.The Senior Compliance Auditor is responsible for advancing the mission of the Office of General Counsel Ethics and Compliance Services (ECS) in a manner consistent with the values and standards of the Department and the audit profession. -The Senior Compliance Auditor is responsible for participating in the Department's annual risk assessment and work plan development processes, supervising and developing audit and administrative staff, and fostering important strategic partnerships with other Sutter Health Support Services' functions.The Senior Compliance Auditor will also participate in improving the efficient and effective delivery of the Department's assurance and consulting projects, complying with department and professional standards, participating in audit department initiatives and internal process improvement projects, and providing input into the enhancement of audit methodologies, work flows, and tools.Qualifications:Education:
Requires a Bachelor's degree in Healthcare, Business, MIS, Computer Science, Statistics, or other related field. Master's degree in Healthcare, Business, Public Health, Statistics desired. CISA, CIA, CCS, CPC, or CPA certification or the equivalent combination of education and experience. -Experience / Knowledge / Skills:Five to seven years of progressive auditing and/or consulting experience is required with some internal audit experience preferred. - The Senior is likely to have gained health care experience through roles in internal or external auditing, accounting, financial reporting, and/or health care administration or clinical operations. -In addition, the Senior must have a firm understanding of audit theory and processes and of the professional practice standards of auditing as well as core control frameworks. Knowledge of leading audit practices and computerized auditing techniques is preferred. -Physical Requirements:The Senior must display a high degree of professionalism and leadership and possess proficient, organizational, analytical, critical thinking and project management skills. - Must have excellent written, verbal, and interpersonal and presentation skills. -Travel maybe require depending on the project or data location (20%-30% annually). - Must have reliable transportation and available for unplanned travel. - Flexibility in working hours may be necessary. - Significant amounts of sitting; use of both hands (for grasping, file handling, telephone use, word processing); hearing, speech, vision; and driving capabilities are all needed physical abilities. Organization:Sutter Health System OfficeEmployee Status: RegularBenefits: YesPosition Status: ExemptUnion: NoJob Shift: DayShift Hours:8 Hour ShiftDays of the Week Scheduled:Monday-FridayWeekend Requirements: OtherSchedule: Full TimeHrs Per 2wk Pay Period:80Applications Accepted:All Applications AcceptedSchedule/Shift: Full Time/ Day

Keywords: Sutter Health, Roseville , Senior Compliance Auditor - Work From Home, Accounting, Auditing , Roseville, California