Auditor

• Perform regularly scheduled qualifying, surveillance, and sampling inspections, both on-site, in-plant, or remotely, as assigned by the department.
• Establish and maintain excellent customer relationships to ensure ICC-ES is respected as a partner.
• Ensure all applicable company and department procedures are consistently followed in the execution of inspection jobs.
• Continually monitor each client’s implementation of approved quality systems and ensure compliance with stated requirements, including review of incoming materials, material specifications, ongoing or quality control testing requirements stated in the quality manual, and final inspection and labeling of product.
• Continually evaluate and communicate the status of each client’s quality system to ICC-ES or the agency assigning the inspection.
• Assist in scheduling factory audits and product sampling throughout the year to support efficient operation.
• Ensure economical travel by planning in advance and communicating challenges to the manager, supervisor, or coordinator when needed.
• Review and monitor travel expenses to ensure they meet company objectives; contact the manager with questions or cost-saving recommendations.
• Ensure the assigned average number of unique audits or sampling events is met, as assigned by the Director of ICC-ES Inspections.
• Discuss scheduling concerns with the manager if assigned scheduling does not meet department requirements.
• Perform other duties, responsibilities, and special assignments as directed by the Director of ICC-ES Inspections.
• Continually identify and pursue opportunities for process improvement and promote continuous improvement within the department.
• Promote effective communication throughout the organization and recommend actions that enhance communication among employees.
• Contribute ongoing insights and ideas for resolving repetitive field issues by maintaining consistent communication with department managers.
• Recommend improvements to systems, policies, and procedures for the Inspections Department.

Quality Auditor, Building Products Inspections

• Work on registration and audit daily work done by offshore Data Entry teams
• Ensure there is no delay with charges and that the charges are posted correctly
• Review and correct insurance-related payor codes
• Determine eligibility, insurance product, and plan types for patient accounts
• Identify discrepancies in patient insurance information and correct timely
• Review medical records, patient demographic sheets/face sheets and EMR systems

Quality Control Auditor

• Performs clinical care activities for patients within the scope of practice
• Assists in clinical care services or engages in administrative activities
• Communicates effectively using clear and respectful language
• Maintains records or supplies to enhance care coordination
• Advocates for patients and informs/counsels about illness and care details

Revenue Integrity Nurse Auditor

• Auditing claims for medically appropriate services provided for inpatient settings while applying appropriate medical review guidelines, policies and rules.
• Document all findings referencing the appropriate policies and rules.
• Generate letters articulating audit findings.
• Support your findings during the appeals process if requested.
• Working collaboratively with the audit team to identify and obtain approval for particular vulnerabilities and/or cases subject to potential abuse.
• Keep abreast of medical practice, changes in technology, and regulatory issues that may affect our clients.
• Work with the team to minimize the number of appeals; Suggest ideas that may improve audit workflows; Assist with QA functions and training team members.
• Cross train in all clinical departments/areas.
• Other duties as required to meet business needs.

Medical Review Nurse – Home Health Auditor

• Prepare and execute risk-based audits / reviews of business units, factories, head offices, and processes
• Evaluate processes and controls to ensure operational effectiveness and efficiency
• Review compliance with laws, regulations, contracts, policies, and procedures
• Ensure reliability and integrity of reporting, confidentiality of information, and safeguarding of assets
• Leverage digital technologies to provide effective risk-based audit testing for key internal control areas
• Identify and recommend control enhancements and process improvement
• Communicate findings and recommendations for corrective actions
• Present audit results to stakeholders and agree on timelines for recommendation implementation
• Maintain and update audit programs, manuals, and tools
• Work both independently and as a member of a team based on specific assignment needs

Operational Auditor

• Lead the execution of independent controls testing across business process areas including revenue, financial close, and treasury.
• Evaluate the design and operating effectiveness of key controls, document testing procedures and results, and ensure workpapers meet Internal Audit and external auditor quality standards.
• Validate the completeness and accuracy of Information Used in Controls (IUC) and Information Produced by the Entity (IPE), ensuring the reliability of data underpinning control performance.
• Build and maintain testing programs, templates, and workpapers that create a repeatable, scalable foundation for business process SOX testing.
• Identify opportunities to leverage AI-enabled workflows and data analytics to improve testing coverage and efficiency.
• Independently validate the remediation of open SOX findings, including material weaknesses and significant deficiencies, across business process control areas.
• Evaluate control deficiencies by performing root cause analysis and assessing the severity and pervasiveness of exceptions to inform deficiency classification.
• Assess whether management’s remediation actions are adequately designed and operating effectively before closing findings.
• Track remediation progress, escalate delays or gaps, and report status to Internal Audit leadership and the Audit Committee as required.
• Coordinate with the SOX Compliance team to ensure alignment on remediation expectations, timelines, and evidence requirements.
• Serve as a trusted Internal Audit point of contact for business process control owners across Finance, Accounting, and Treasury.
• Contribute to Internal Audit reporting to the Audit Committee, external auditor, and senior leadership on business process SOX testing coverage, findings, and remediation status.
• Partner with the IT SOX tester and co-sourced resources to ensure coordinated testing coverage across the full SOX program.

Senior SOX Auditor – Business Process Controls

• Assist with the development and execution of the Annual Compliance Workplan including the Auditing and Monitoring Workplans
• Lead & complete detailed Coding compliance audits including complex audits
• Implement Management Action Plans
• Prepare high quality audit reports
• Establish and maintain an Audit the Auditor Quality program
• Coach and mentor new and existing Coding auditors
• Participate in other compliance program related activities
• Analyze audit findings to identify discrepancies, trends, patterns which may lead to potential non-compliance
• Create and maintain an Audit the Auditor program to monitor quality and identify opportunities for improvement related to audit management tools as well as audit processes
• Provide regular updates to the Compliance leader on audits, MAPs outcomes, and escalate potential compliance concerns which require immediate attention
• Create and maintain training material for Audit process and how to use the Audit Management tool/platform
• Communicate coding compliance concerns to Compliance leadership through identifying trends and patterns
• Keep up with coding guidelines and industry standards for coding practices

Senior Coding Compliance Auditor – Outpatient

• Identify preliminary audit scoping, including performing technical research, conducting stakeholder interviews, and preparing audit questionnaires.
• Perform walkthroughs, identifying and documenting risks and controls.
• Execute specific audit procedures and prepare work, documenting the procedures performed.
• Evaluate the adequacy and effectiveness of internal controls to identify key controls, weaknesses, and compensating controls, identifying areas for improved control, cost savings, and operational efficiency.
• Draft audit recommendations for inclusion in audit reports and memos for review by Audit Manager.
• Perform follow-up work on past audit recommendations to determine adequacy of corrective actions taken by management.
• Complete work timely and accurately to ensure project milestones are achieved, implementing effective problem-solving skills.
• Apply judgment to ensure professional standards are satisfied, with guidance from colleagues.
• Identify matters and issues that should be reviewed and/or escalated to higher levels of management.
• Provide guidance to IT staff implementing technical controls.

IT Auditor

• Assisting the audit team management in planning audit engagements
• Performing or supervising staff auditors in the testing of controls based on audit program directions
• Interviewing auditees; identifying and analyzing business processes; and documenting work performed in TeamMate Audit Solutions to support audit scope/conclusions and meet CAS Policies, Standards and Guidelines
• Drafting audit issues under the supervision of the audit team management
• Assisting the audit team management in the reporting and wrap-up phases of audits
• Learning from and applying coaching received
• Building and maintaining relationships with stakeholders, establishing a culture of engagement while adding value
• Maintaining a good understanding of key processes within the Centralized Operations area
• Performing other duties as requested by management

Senior Auditor – Payment Operations, Money Movement

• Determine adherence to quality standards through audits in the areas of expertise in Acquisition, Service and/or Benefits
• Maintain up-to-date expertise with relevant processes to provide an effective quality assessment
• Maintain a full audit workload and deliver high quality assessments
• Deliver concise, clear and professionally appropriate written documents
• Partner effectively with key stakeholders to identify holistic quality trends
• Identifying gaps in procedural documentation and work effectively with Policies and Procedures team to address
• Mentor new and existing staff in the QA I role
• Assist with QA projects
• Assists with regulatory and compliance inquiries as needed
• Establish and maintain collaborative working relationships with appropriate members of the operating areas
• May provide direct operational support due to critical business need

Quality Auditor II – Underwriting

• Execute portions of the Risk & Control Services plan, including audit activities and SOX/MAR/FDICIA compliance activities.
• Present objectives and results to various levels of management.
• Execute on a structured approach to evaluate and improve the effectiveness of risk management, control and governance processes.
• Identify control deficiencies, assess exposure and significance, and propose cost effective recommendations.
• Monitor and validate Management Action Plan status and recommend closure of Management Action Plans when actions are complete and identified deficiencies have been addressed.
• Coordinate with appropriate control groups in planning and executing assigned work.
• Complete work within established timelines.
• Proactively communicate/escalate challenges and roadblocks that impact ability to meet established timelines.
• Gather information and provide input into risk assessments in conformance with department standards.

IT Staff Auditor

• Responsible for independently leading internal audits to assess compliance and effectiveness of the Quality Management System (QMS).
• Partners with site stakeholders to drive compliance, identify risks, and support continuous improvement.
• Lead internal audits from planning through execution, reporting, and follow-up
• Develop and tailor audit scope, agenda, and plans based on site inputs
• Assess compliance to FDA, ISO 13485, MDR/MDD, and company procedures
• Document audit results, including nonconformances and observations
• Present audit results and insights to site leadership
• Support execution of the Global Internal Audit Program
• Monitor audit observations and escalate trends or systemic risks
• Interface with Site RAQA and Quality leadership teams

Staff Internal Quality Auditor

• Gather, analyze, and coordinate customer space and occupancy requirements.
• Assist government personnel in identifying and resolving immediate and future space planning and occupancy needs.
• Perform field measurements and validate existing facility conditions.
• Conduct space audits to verify occupancy, utilization, personnel bed-downs, and space allocation accuracy.
• Resolve spatial orientation and space utilization challenges within assigned facilities.
• Develop and modify space layouts, floor plans, and occupancy configurations using AutoCAD and Revit.
• Review and interpret architectural drawings, blueprints, and floor plans.
• Coordinate projects and planning efforts with engineers, designers, project managers, quality assurance personnel, furniture teams, and government stakeholders.
• Prepare recommendations regarding facility utilization, occupancy planning, and strategic space management initiatives.
• Generate utilization, capacity, occupancy, and vacancy reports using the ARCHIBUS database.
• Maintain accurate space inventory and occupancy records.
• Assist in identifying gaps and discrepancies within accountable space inventories, including 1450 and 1450-1 accountable spaces.
• Support planning studies, compliance documentation, and facility planning reports.
• Facilitate meetings, workshops, and stakeholder engagements related to space planning efforts.
• Prepare written communications, briefings, and presentations for senior leadership.
• Manage multiple projects simultaneously and prioritize assignments to meet organizational requirements and deadlines.
• Perform domestic and international travel as required to conduct facility assessments and space audits.

Space Auditor

• Contribute toward the planning and execution of complex IT audits in accordance with Navy Federal and industry audit standards
• Perform pre-implementation reviews of new technology
• Analyze and assess Navy Federal's technological infrastructure to ensure processes and systems run accurately and efficiently, while remaining secure and meeting compliance regulations
• Plan and execute audits of the organization’s IT systems for confidentiality, availability, and integrity of system and processes
• Develop risk-based audit objectives, scopes, and test plans to ensure compliance with regulation, requirements, policies, and standards
• Occasionally act as Auditor-In-Charge on IT/integrated audits of lesser risk/complexity
• Coordinate with points of contact and first/second lines of defense to conduct preliminary research, lead process walkthroughs, document process narratives and workflows
• Identify opportunities to leverage data analytics and technology to drive deeper risk coverage and insights
• Work across multiple audits concurrently
• Prepare audit workpapers to document relevant information supporting audit observations/issues

Senior IT Auditor – Advisory, Technology Implementation

• Handle premium audits for dedicated AAD customers
• Prepare for the audit by identifying the necessary information and type of records needed
• Prepare schedule to maximize optimal use of time
• Correspond with insured via phone, email and mail to setup audit appointments, determine record-keeping system, and request specific records required
• Examine the policyholder's records, gather data to determine correct classifications for business activities and write an effective description of operations
• Using SOP and Client requirements, prepare complete audit document and explain results to insured
• Meet minimum billable requirements

Premium Auditor – Advanced Auditor

• Support the Coding and documentation quality assurance (CDQA) team
• Implementation of and compliance with enterprise-wide and department coding policies and procedures for PHS
• Compliance to all external regulatory agency coding rules and regulations
• Perform and/or manage on-site internal audits or reviews to assess compliance/quality monitoring
• Serve as a resource on documentation, coding, billing, and coding compliance questions
• Develop and present educational programs and information dissemination
• Audit and training support for coding, audit, and physician personnel identified as low performers
• Perform medical record and billing reviews of denied and appealed claims
• Coordinate review and tracking of appealed claims and communication with affected payers
• Research and interpret all regulatory agency regulations

Pro Fee Auditor/Educator

• Complete scheduled quality assurance reviews for both internal teams and external client organizations
• Conduct onboarding audits and training for newly hired inpatient coders
• Deliver training sessions and educational feedback to coders, including those at client sites
• Communicate quality issues and audit findings to management and client contacts
• Assist in drafting, implementing, and monitoring quality improvement action plans for coders
• Maintain reports and accuracy rates for coders and clients
• Respond to client QA needs and inquiries as directed by management
• Provide educational sessions on error trends to coders and client teams
• Notify management of compliance concerns or incidents
• Demonstrate knowledge of HIPAA Privacy and Security Regulations through appropriate handling of patient information
• Promote confidentiality and discretion in handling patient information
• Attend educational conference calls and client meetings as required
• Perform other duties as assigned for the project
• Maintain required productivity and quality standards
• Maintain coding credential requirements

Inpatient Auditor – PRN

• Perform regularly scheduled in plant audits as requested by the Regional Inspection Manager.
• Perform on-site scheduled audits as requested by Regional Inspection Manager.
• Perform product sampling as requested by Regional Inspection Manager.
• Continually monitor the client’s implementation of approved quality systems.
• Continually evaluate and communicate the status of each client’s quality system to the Regional Inspection Manager.
• All inspection reports will be sent to the Regional Inspection Manager for review by the end of each month.
• Establish excellent relationships with States and HUD to ensure we are respected as a leader and partner.
• Ensure all applicable ICC NTA procedures are consistently followed in the execution of inspection jobs.
• Continually identify, recommend, and pursue opportunities for process improvements within the Department and ICC NTA.
• Promote effective communication throughout the organization.
• Identify opportunities and recommend actions that will enhance communication among all employees.
• Contribute on an ongoing basis, insights and ideas for resolving repetitive issues as they arise in the field by establishing and maintaining a consistent line of communication with Inspection Managers.
• Perform other duties, responsibilities, and special assignments as directed by the Regional Inspection Manager.

Quality Auditor – Building Inspections

• Lead small audits over the Card and Auto Finance business, or own completion of significant components of larger audits
• Develop engagement planning documentation for assigned areas to communicate rationale for scoping decisions
• Develop audit programs to ensure adequate coverage of risks
• Design and execute appropriate audit procedures to verify the effectiveness of internal controls
• Document auditee processes and procedures, review and analyze evidence, and identify potential issues
• Leverage available data and analytical tools during the planning and fieldwork phases of audit delivery to provide stakeholders with assurance, advice, and insight
• Prepare clear, organized, and complete documentation to support work performed, including draft findings
• Establish and maintain good client and team relations during engagements
• Effectively communicate information and audit progress to team, clients and auditor-in-charge
• Self prioritize and effectively plan your own work activities managing multiple priorities and tasks across the team to deliver quality results
• Proactively take on additional work to support the team when possible
• Provide coaching, on-the-job training, and feedback to audit staff, including junior associates and recent hires

Principal Auditor, Experienced Senior Auditor, Consumer Lending

• Performs assigned audits, projects or investigations for the entire organization and its subsidiaries
• Conducts and documents interviews, performs and documents audit test work, and analyzes and presents oral and written conclusions to department and organization management
• Educates and assists employees and management in applying and improving internal controls to mitigate risks

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