Auditor

• Communicates with Lead Auditor
• Communicates with Store Analyst if needed
• Works with Audit Supervisor to ensure accurate counting of stores
• Researches findings of audits if directed to do so

Field Inventory Auditor

• Conduct audits against food safety standards within the assigned territory.
• Provide coaching and training related to food safety and sanitation violations.
• Communicate suggested corrective actions to site-level personnel.
• Learn account standards, participate in initial calibration activities, and pass the calibration exam.
• Complete audits using an Android or iOS tablet.
• Travel to client sites to conduct audits.
• Maintain or replace wall charts, job aids, stickers, test strips, and similar materials.
• Evaluate equipment service needs and coordinate technician support when necessary or when issues cannot be quickly resolved.
• Develop and maintain strong customer relationships.
• Perform internal reporting and administrative tasks.

Retail Food Safety Auditor

• Conduct audits against food safety standards within the assigned territory
• Provide coaching and training related to food safety and sanitation violations
• Communicate suggested corrective actions to site-level personnel
• Learn account standards, participate in initial calibration activities, and pass the calibration exam
• Complete audits using an Android or iOS tablet
• Travel to client sites to conduct audits
• Maintain or replace wall charts, job aids, stickers, test strips, and similar materials
• Evaluate equipment service needs and coordinate technician support when necessary or when issues cannot be quickly resolved
• Develop and maintain strong customer relationships
• Perform internal reporting and administrative tasks

• Conduct a thorough vehicle inspection at an expert level
• Responsible for area audits through a physical count of client vehicles, in addition to an audit of dealer’s records including the sale, disposition and proceeds of the vehicles in question
• Responsible for reconciling dealer and Cox customer physical counts, and in some cases, facilitating payment from dealer to finance company
• Locate, start, move, inspect, and return vehicles on dealer/clients’ lot safely
• Verify vehicle identification and enter accurate vehicle information into the inspection system to correct VIN, mileage, and sub series
• Inspect vehicle equipment and options, documenting results including damage, missing or inoperable items
• Inspect and record vehicle exterior condition, including but not limited to tires, frame, glass, panels, and mechanical components
• Inspect and record the vehicle interior condition, including but not limited to seats, dashboard, and options
• Perform basic mechanical checks on vehicles including powertrain, drivetrain, and electrical components
• Will assist lower-level mobile inspectors to navigate more complex inspections and client relationships
• Prepare and provide daily activity reports for management
• Be able to pivot and adapt to changes in daily appointments to ensure efficiency and effectiveness of each dealer visit
• Develop strong knowledge of clients in territory and work together with partners to keep them active with Manheim mobile inspections through regular, pro-active on lot engagement
• Collaborate with the Wholesale Specialist team, peers, other Manheim workgroups, and auctions

Senior Mobile Vehicle Condition Inspector, Lot Auditor

• Collaborates with clinical documentation team in the review of inpatient accounts (with an emphasis on mortality reviews) identifying documentation improvement opportunities
• Assess DRG, PDx, secondary Dx, PCS, POA and all other components of documentation that impact quality metrics
• Consistently assures coding practices remain compliant with coding guidelines and regulations
• Continually identifies educational opportunities related to coding and documentation
• Expert educator to clinical teams and medical staff
• Identifies strategic plans that will result in a positive impact to the clinical dashboard
• Develops clinical relationships across the health system securing interdepartmental support necessary for successful implementation of education strategies assuring achievement of overall strategic targets
• Ability to multi-task a variety of audits
• Ability to analyze data and construct appropriate action plans
• Develops teaching tools to promote quality outcomes
• Is an active member of clinical and executive meetings as identified
• Advanced understanding of quality metrics for health system (Vizient, PSI, USNWR)
• Advanced understanding of clinical documentation and coding through the lens of local and national quality and ranking methodologies, including but not limited to, U.S News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of Clinical Documentation and Coding in implementing key strategies to effect change.
• Partners with Coding, Clinical Documentation leadership and Medical Directors to coordinate, maintain, and execute advanced project work that includes but, is not limited to, Mortality Review, HAC/PSI Review, Quality Abstraction and Analysis, and/or special and non-traditional project work.
• Partners with NM departments that includes but is not limited to: IT; Analytics; and Innovation to design and implement new and advanced workflow solutions.
• Partners with third-party consultants/partners to contribute to workflow and methodology build and refine as necessary.

Coding Quality Auditor, Specialist

• Responsible for delivering BSI’s audit services to assigned clients
• Manage a portfolio of assigned clients based on location
• Conduct various types of audits as Team Leader or Team Member
• Monitor the client accounts to ensure client satisfaction is maintained
• Follow the training plan developed by the Scheme Director
• Lead teams when necessary, mentor, and coach new or inexperienced colleagues

Automotive Management Systems Auditor

• Leading audits including the planning, fieldwork, review, and report writing phases of financial, operational and compliance audits
• Making oral presentations of audit findings to management
• Effectively executing the bank’s SOX 404 audit testing program
• Project participation related to internal controls, compliance issues, system changes, etc.
• Follow-up to validate resolution of open audit issues
• Oversee the completion of quarterly continuous monitoring activities
• Assist with examiner requests
• Update internal audit risk assessments
• Maintaining internal audit workpaper documentation
• Developing and maintaining productive working relationships with all levels of management

Senior Internal Auditor

• Conducts regular audits of clinical documentation and coding to identify areas for improvement and ensure compliance with federal, state, and payer regulations
• Makes recommendations based on interpretations of identified coding patterns
• Implements compliant and accurate coding solutions
• Identifies patterns of incorrect coding
• Identifies training needs and develops educational materials
• Partners with providers to analyze and resolve complex coding inquiries
• Helps Coders stay informed on changes in coding regulations
• Works independently to assess coding accuracy

Coding Auditor

• Auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed
• Analyzing and auditing claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities
• Drawing on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions
• Utilizing audit tools, auditing workflow systems and reference information to generate audit determinations and formulate detailed audit findings letters
• Maintaining accuracy and quality standards as established by audit management
• Identifying potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs)
• Suggesting and developing high quality, high value, concept and or process improvement and efficiency recommendations

Clinical Validation Auditor – RN, CDI, MS-DRG, AP-DRG, APR-DRG

• Leads and performs complex internal audits and coordinates related large-scale projects.
• Identifies, documents, and analyzes audit findings and develops audit programs that address and test identified key risks.
• Performs follow-up audits and monitoring to ensure appropriate adherence to policies and procedures.
• Monitors compliance with regulations and controls by examining and analyzing records, reports, operating practices, and documentation.
• Evaluates opportunities for improvement, develops recommendations, and presents improvement opportunities/audit findings to leadership.
• Acts as a resource to educate, consult and collaborate with staff on various audit related topics.
• Guides and educates departments on methods to decrease risk and increase compliance in organizational-wide programs, policies, and procedures.
• Assists the independent external auditors by gathering information, answering questions, executing testing, coordinating any further assistance needed, and performing related projects.
• Assists with establishment of annual audit plans by leading discussions with management to identify timing, scope and objectives of audits.
• Assists with the coordination of risk models/assessments to identify and develop an audit plan to address potential risks for specific audit scope areas.
• Ensures alignment of audit and project plans with risk assessment.

Senior Internal Auditor – Compliance

• Perform internal QMS audits in accordance with applicable QMS standard(s) and internal requirements
• Develop and manage audit plans and schedules
• Conduct risk analysis to determine audit focus areas
• Support and advise site management on preparation for third party audits
• Perform benchmarking of enterprise best-practices
• Review complex proposals, contracts, regulatory, program and customer requirements for effective implementation in QMS
• Advise leadership on development of business strategies influencing directives and policies
• Consult in high level reviews of corrective actions at site, enterprise and customer level to assure trends and systemic issues are identified
• Conduct research, compile and analyze performance reports and process control statistics for continuous improvement
• Represent Company on industry working groups to develop industry standards for quality as needed

Senior Internal Quality Auditor, Level 3/4

• Conducting financial/operational audits.
• Internal control assessments.
• Strategy reviews.
• Special projects and risk assessment activities.
• Lead the development and execution of high quality assessments of the Company’s complex processes and controls.
• Identify risks and collaborate with team leadership, business management and external auditors on audit planning, testing and evaluation procedures.
• Prepare clear, accurate and concise audit work papers.
• Present findings/deficiencies to the lead auditor with recommendations for remediation.
• Review work performed by others and provide recommendations for improvement.
• May support internal and external audit/compliance groups with various activities.

• Leads day-to-day activities of the audit team
• Creates and manages workflow assignments
• Establishes priorities and serves as a resource for training lower-leveled audit associates
• Operates as the SME (subject matter expert) for a specific line of business
• Documents workflow processes
• Collaborates across business lines through the facilitation of meetings
• Manages vendor relationships with contracted vendors
• Investigates potential fraud and over-utilization by performing complex medical reviews
• Conducts provider meetings to discuss audit findings and appeals
• Researches claims payment methodologies and fee schedule pricing
• Adjusts and re-prices claims per audit findings
• Assists in resolving contractual issues with providers
• Prepares and analyzes various reports

Provider Auditor Lead – Payment Integrity, Clinical Audit

Coding Quality Auditor and Specialist

• identifying issues and/or entities that may pose potential risk associated with fraud and abuse
• Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control
• Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claims lifecycle
• Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations
• Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern
• Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation

Clinical Provider Auditor I

• Participates in the execution of process/operational/integrated audits and special projects to analyze and evaluate risks and controls to support key business operations, systems and related processes including those related to company objectives/strategic initiatives.
• Execution of audits including development of risk-based audit approach, planning, fieldwork and reporting of audit work including the evaluation of key risks, establishment of audit objectives and development of audit programs to evaluate the effectiveness of the company’s internal controls.
• Identification of changes to company processes and systems as well as emerging risks/trends and the impact to the audit plan to maximize audit resources.
• Ability to document/flowchart processes, complete walkthroughs/design assessments and complete control effectiveness testing with appropriate supervision.
• Participation in advisory projects related to pre/post implementation of systems, process and strategic initiatives to ensure a strong internal control environment.
• Ability to identify and assess the impact of control deficiencies/trends and root cause analysis.
• Preparation of audit findings using advanced writing skills.
• Collaboration with management/leadership to develop corrective actions/remediation/process improvement recommendations which strengthen internal controls and add value.
• Ability to present findings and recommendations to management and obtain agreement on remediation through status updates and closing meetings.
• Perform follow-up on management’s action plan.
• Participation in onboarding activities.
• Assist with department audit training.
• Participate in development/implementation of policies and procedures for achieving department objectives.
• Ability to stay abreast of best practices as well as emerging professional standards, regulatory initiatives, accounting and retail industry trends and threats (internal/external).
• Act as a conduit for introducing these to the company and IA department.
• Advocate the standard audit practice and methodology ensuring quality and consistency in accordance with IIA standards.
• Assist in the development of the annual audit plan by identifying risk areas and audits/projects for inclusion in the audit plan.
• Support and/or lead data analytics projects.
• Identify areas where data analytics can augment the annual audit plan including ongoing/continuous monitoring activities.
• Suggest areas for the integration of data analytics into the audit methodology.
• Suggest opportunities for automation opportunities within the business to raise awareness of efficiency opportunities.
• Ability to create data analytics and interpret results, identify trends including root cause and potential remediation.
• Stay abreast of and provide consultative input on major change initiatives as part of the company’s strategic initiatives.

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