COMPLIANCE PROGRAM AUDITOR

Job Description

Job Description

POSITION PURPOSE :

The Assistant to the AVP of Risk Management and Compliance. Will be conducting independent and objective audits / reviews of departments and procedures to determine compliance with Federal and State regulations, specifically as it relates to Federal Healthcare Programs.

POSITION REQUIREMENTS / QUALIFICATIONS :

Education / Experience :

Bachelor’s Degree in Accounting, Finance or Business Administration. Three (3) years’ experience in a Health Care Organization, preferably in a community health center.

Licensure / Certification :

Maintain current CPR certification from the American Heart Association.

Skills / Ability :

Fluency in English / Spanish. Demonstrates proficiency in communication and written skills. Position requires audit skills, preparation of reports to management and knowledge of Federal and State regulations which affect Healthcare.

POSITION RESPONSIBILITIES (THIS IS AN EXEMPT POSITION)

The incumbent serves at the pleasure of the President / CEO.

Administrative duties in support of the Compliance Officer, whose duties are complex and broad in scope, in ensuring Community Health of South Florida, Inc. is in compliance with policies, procedures and regulation.

Ability to use resources effectively and in recommending implementation of the types of internal controls that are preventive, detective and corrective in nature.

Preparing worksheets to be utilized for audit / reviews as instructed by the Compliance Officer.

Securing supporting documentation that substantiates audit / review findings.

Researches regulations by reviewing regulatory bulletins and other sources of information.

Monitors the Employee Reporting Hotline

Preparing monthly reports and collecting necessary data.

Conducts and participates in in-service training.

Prepares reports by collecting, analyzing, and summarizing information.

Works with the Compliance Officer to audit areas identified during risk assessments, items pertinent to the medical practice as identified by annual OIG work-plans, and other compliance and risk areas identified by the Compliance Officer.

Performs on-going compliance audits utilizing as necessary, evaluation tools relating to audit; monitoring activities.

Under the direction of the Compliance Officer identifies and defines audit scope and criteria, reviews and analyzes evidence, and documents audit finds, including making recommendations for improvement and correction where identified.

Under the direction of the Compliance Officer, performs risk assessments and determine the level of risk by :

• Understanding laws and regulations
• Obtaining and / or establishing policies for specific issues and areas
• Educate on the policies and procedures and communicate awareness
• Monitor compliance with laws, regulations, and policies
• Audit the highest risk areas
• Re-educate staff on regulations and issues identified in the audit

Participate in Quality Assurance and Quality Improvement Programs and activities

Performs other duties as assigned.