Director, Internal Audit – Revenue Cycle

Posted 2hrs ago

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Job Description

Remote Internal Audit Director overseeing healthcare revenue cycle audits at Bon Secours Mercy Health. Leading risk assessments, complex audits, remediation, and governance reporting.

Responsibilities:

  • Provide leadership and oversight for the Internal Audit program within an assigned area of responsibility
  • Direct, coach, and develop Internal Audit team members
  • Review and approve audit workpapers and documentation
  • Participate in enterprise risk assessment and annual audit planning
  • Lead and/or conduct complex and high-risk audits
  • Define audit scope and objectives, evaluate controls and processes, analyze evidence, and identify risks and control deficiencies
  • Develop audit documentation, findings, recommendations, and management action plans
  • Monitor and validate remediation activities and report outstanding issue status
  • Prepare and communicate audit results to management
  • Assist with audit report preparation and presentations for senior leadership and governance committees
  • Provide consultation and risk insight on internal controls, risk management, compliance, process improvement, and emerging risks
  • Maintain relationships with Corporate Responsibility, Legal, Finance, Information Technology, Revenue Cycle, and operational leaders
  • Monitor industry trends, regulatory developments, and emerging risks
  • Improve audit methodologies, processes, tools, reporting, quality, and efficiency
  • Maintain objectivity, confidentiality, accuracy, thoroughness, integrity, and professional judgment

Requirements:

  • Bachelor's degree in business, accounting, finance, information systems, healthcare administration, or related field
  • CPC, CCS, RHIA, or RHIT
  • CIA, CISA, CPA, or other relevant professional certification preferred and/or required within two years of hire based on assigned scope
  • 7+ years of progressive internal or external audit experience
  • Experience leading complex audits, evaluating internal controls, assessing risk, and communicating audit findings to management
  • 7+ years of progressive audit experience, including significant experience with healthcare revenue cycle operations
  • Demonstrated experience in coding, billing, charge capture, claims, reimbursement, denials, revenue integrity, payment processes, or related healthcare compliance
  • Experience leading audits involving complex revenue cycle processes, controls, and regulatory or reimbursement risk
  • Master's degree preferred
  • CIA, CISA, CPA, CHIAP, CPMA, or other relevant professional certification preferred
  • Healthcare industry experience preferred

Benefits:

  • Competitive pay
  • Incentives
  • Referral bonuses
  • 403(b) with employer contributions (when eligible)
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Prescription coverage
  • HSA/FSA options
  • Life insurance
  • Mental health resources and discounts
  • Paid time off
  • Parental leave
  • FMLA leave
  • Short- and long-term disability
  • Backup care for children and elders
  • Tuition assistance
  • Professional development support
  • Continuing education support