Auditor

• Develops and implements strategic needs analyses and training plans for coding leadership
• Coordinates and evaluates curriculum development
• Conducts the preparation and delivery of training for Medical Coders
• Provides guidance and leadership to coding and billing management
• Performs annual performance reviews and quality assurance reviews
• Serves as a subject matter expert for professional fee coding
• Ensures information meeting professional coding standards is accurate and current
• Monitors and audits inpatient and outpatient accounts
• Assesses educational needs of coding staff
• Develops programs or researches educational resources
• Assists with training new and existing staff
• Coordinates the presentation of ongoing professional seminars and materials
• Performs miscellaneous job-related duties as assigned
• Provides reports of audit findings to coding management and leadership

Physician Coding Auditor

• 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.
• Assists with training of new associates.

Clinical Provider Auditor II – Payment Integrity

• Audit major components of business units
• Assist in developing engagement planning documentation
• Design and execute internal control testing
• Prepare clear and organized documentation
• Establish and maintain good client and team relations
• Communicate audit progress effectively
• Perform various engagement administration tasks

Senior Staff Auditor, Finance

• Review financial statements, audit reports, accounting records, and supporting financial documentation submitted by nonprofit corporations
• Support audit oversight and financial compliance monitoring activities associated with VA-affiliated nonprofit corporations
• Assess financial reporting practices, accounting processes, and compliance with applicable policies, procedures, and financial management requirements
• Participate in on-site reviews, audit activities, compliance assessments, and stakeholder meetings at VA-affiliated nonprofit corporations as required
• Evaluate financial controls and identify risks, discrepancies, weaknesses, or areas requiring corrective action
• Support review and follow-up of audit findings, recommendations, corrective action plans, and remediation activities
• Analyze financial and accounting information and prepare reports, summaries, and recommendations for NPPO leadership
• Assist in evaluating financial management practices and identifying opportunities for process improvement and strengthened internal controls
• Maintain audit tracking tools, financial review documentation, and compliance records
• Coordinate with NPPO staff, nonprofit corporation representatives, auditors, and other stakeholders to support oversight activities
• Support preparation of briefing materials, reports, and presentations related to audit, accounting, and financial management activities
• Provide technical assistance and support regarding financial reporting, accounting documentation, and financial management requirements

• Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
• Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
• Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
• Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
• Support fraud investigators with medical review expertise to detect and address fraudulent activities.
• Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.

SIU Nurse Auditor, RN, CPC

• Monitors security tools, assesses threats, and risks involving client infrastructure.
• Provides vulnerability scans, reports, and metrics to Security, Program, and Customer management.
• Helps determine current risks, provides mitigations strategies, and communicates with system owners, data owners, and security management to ensure risks are appropriately identified and mitigated within operational schedules.
• Follows standard operating procedures for detecting, classifying, and reporting incidents under the supervision of the SOC Manager and in partnership with Tier 3 SOC Analysts.

Cyber Auditor – Full Performance

• Based on discussions with the Trial Staff and COR, plans, implements and manages small and moderately sized audit investigations as required in support of litigation
• As part of audit teams conducting large and complex audit investigations, may work under the direction of a Senior Auditor, and perform portions of the audit investigation under the Senior Auditor's supervision and guidance
• Performs analysis of corporate financial and operating statements, records and other information in order to arrive at results in accordance with the stated objectives of the audit investigation; prepares interim and final oral and written reports to the Trial Staff and COR on the progress, status, and results of audit investigations; makes recommendations to Trial Staff and to the COR based on audit results
• Provides direction, supervision and guidance to more junior Financial Analysts working on the same audit investigations

• Directs, provides guidance and advice, and reviews the work product of more junior Auditors and Financial Analysts to ensure that it meets the stated objectives of audit investigations.
• Reports to the Trial Staff and COR as required on the status of audit investigations; prepares interim and final written reports and recommendations based on the results of audit investigations.
• Reviews and analyzes financial and operating statements, records and other information in order to arrive at results and conclusions in accordance with the stated objectives of audit investigations.

Senior Auditor

• Perform risk assessments of business activities and relevant testing
• Assist in communicating issues, risks and recommendations to management
• Operate independently and meet high-quality standards
• Develop working relationships with business partners and Audit group
• Leverage data analytics during audit delivery phases
• Proactively follow-up on audit actions and commit to management deadlines

Senior Staff Auditor, Consumer Lending

• Lead small audits, or own completion of significant components of larger audits related to the payment network.
• Develop engagement planning documentation for assigned areas to communicate rationale for scoping decisions, and 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.
• 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 – Global Payment Network

• 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

• Reports to the IT Audit Manager and supports the audit team by performing design and operating effectiveness testing for Sarbanes Oxley IT General Controls (ITGC)
• Preparing thorough work-papers with supporting evidence and clearly communicating testing status and findings
• Conducting ITGC walkthroughs with control owners
• Participating in various IT audits including reviews of ITGC on acquisitions, information security, cybersecurity, and system implementations
• Attending key audit meetings
• Drafting and communicating control deficiencies with root cause analysis
• Ensuring all documentation is accurately tracked in AuditBoard
• Supporting special projects and pursuing ongoing learning

IT Auditor

• Delivering BSI’s audit services to assigned clients in accordance with all BSI, scheme and regulatory requirements
• Conduct various types of audits
• Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision
• Recommend the issue, re-issue or withdrawal of certificates, and report recommendations
• Maintain overall account responsibility and portfolio accountability for nominated accounts
• Lead assessment teams as required
• Responsible for contacting clients and scheduling visits, planning the assessments, making travel plans, conducting assessments, reporting and managing the results
• Responsible for attending any required training and following all procedures, processes, policies within BSI
• Responsible for monitoring client accounts to ensure satisfaction is maintained
• Responsible for leading teams and mentoring new or inexperienced colleagues as needed
• Any other assignments as needed to meet assessment delivery business objectives

Aerospace Management Systems Auditor – East Coast

• Support the audit methodology update and related enhancement efforts, including conducting research and analysis
• Design and execute best-in-class operational processes
• Coordinate and execute on small to moderately complex projects
• Design and deliver verbal and written communications to audit teams and audit leadership
• Leverage available data and analytical tools to drive deeper insights
• Establish and maintain good relations with audit teams and other key stakeholders
• Provide training to audit team members
• Provide guidance and coaching to audit teams on the application of methodology

Senior Auditor, Audit Professional Practices – Methodology

• Plan, perform, and lead large/complex audits at the enterprise level as well as other diverse lines of business and specialty areas
• Help to implement the team's strategic imperatives/priorities
• Establish and build working relationships with internal and external management
• Provide significant input into the development of the annual audit plan
• Design and perform compliance audit procedures, including identifying and defining issues, reviewing and analyzing evidence, and documenting processes
• Leverage available data and analytical tools during the planning, fieldwork, and reporting phases of audit delivery
• Communicate the results of audit projects to management (written reports/oral presentations)
• Manage staff during audit engagements and provide feedback on work performed

Principal Auditor – Experienced Senior Auditor, Corporate Compliance Audits

Clinical Nurse Coding Auditor

• Perform complex audit and compliance review activities in accordance with program requirements and established methodologies
• Conduct detailed case analysis, evidence review, operational assessments, and compliance testing activities
• Review financial, operational, and supporting documentation to assess compliance with applicable requirements and standards
• Develop and maintain audit workpapers, supporting documentation, and audit records
• Support development of audit findings, recommendations, corrective action assessments, and reporting materials
• Evaluate operational processes, payment activities, and compliance documentation for accuracy and completeness
• Collaborate with program leadership, compliance staff, analysts, and operational teams to support successful audit execution
• Participate in quality review and continuous improvement activities
• Support preparation of reports, summaries, briefings, and operational deliverables
• Assist with issue identification, trend analysis, and operational risk assessments
• Ensure timely completion of assigned tasks and deliverables while maintaining quality and compliance standards

• Develop engagement planning documentation for assigned areas to communicate rationale for scoping decisions, and 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.
• 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.

Senior Auditor – Credit Risk Management

• Perform risk-based reviews and assessments of compliance with federal, state, and other legal regulations and business activities.
• Perform relevant testing based on the risks and processes associated with the area being audited.
• Assist in communicating issues, risks, and recommendations to all levels of management.
• Operate independently and ensure work is completed according to schedule and meets our high-quality standards.
• Develop and maintain strong and effective working relationships with key business partners and the extended Audit group.
• Leverage available data and analytical tools during the planning and fieldwork phases of audit delivery.
• Proactively follow-up on agreed audit actions to ensure management delivers their commitments within the agreed timescales.
• Proactively seek out learning opportunities to enhance skills and competencies related to role.

See all jobs on JobTailor

Physician Coding Auditor

Clinical Provider Auditor II – Payment Integrity

Clinical Provider Auditor II – Payment Integrity

Senior Staff Auditor, Finance

Auditor

SIU Nurse Auditor, RN, CPC

Cyber Auditor – Full Performance

Auditor

Senior Auditor

Senior Staff Auditor, Consumer Lending

Principal Auditor – Global Payment Network

Senior Internal Auditor – Compliance

IT Auditor

Aerospace Management Systems Auditor – East Coast

Senior Auditor, Audit Professional Practices – Methodology

Principal Auditor – Experienced Senior Auditor, Corporate Compliance Audits

Clinical Nurse Coding Auditor

Senior Auditor

Senior Auditor – Credit Risk Management

Senior Staff Auditor, Compliance