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

• Assist the audit team management in planning audit engagements.
• Perform or supervise staff auditors in the testing of controls based on audit program directions.
• Draft audit issues under the supervision of the audit team management.
• Assist the audit team management in the reporting and wrap-up phases of audits.
• Apply feedback and coaching to improve performance and outcomes.
• Perform other duties as requested by management.

Senior Auditor – Banking Products

• Manage the audit lifecycle for assigned audits, including planning, executing fieldwork, scheduling interviews, and conducting audit tests.
• Conduct walkthroughs, develop scope documents, and map control matrices to frameworks such as COSO and NIST.
• Apply internal audit methodology and standards throughout the audit process, including risk assessment and control evaluation.
• Document audit findings, prepare workpapers and audit reports, and present results to management.
• Provide recommendations to improve processes and mitigate risks and lead remediation follow-up activities.
• Prepare for and lead internal and external status meetings; direct and review the work of Staff Auditors to identify risks and dependencies and ensure timely, quality deliverables.
• Contribute to the continuous professional development of audit staff and to improvements in audit methodology and tools.

Senior IT 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

• Analyze all customer feedback for trends and continuous improvement
• Investigate quality issues to identify root causes and ensure issues are addressed and resolved
• Assist in defining and improving processes as part of a team
• Review, compile, and analyze information to prepare reports
• Utilize data monitoring tools to highlight analysis priorities
• Identify gaps in efficient process workflow and suggest steps for supplier quality process improvement
• Collect, prepare and analyze data for corrective action and process improvement
• Support production operations and critical business situations
• Provide clear direction for change and assists in change management
• Document the results of all inspections
• Understand product quality requirements and serve as a resource for quality assurance and approval as needed
• Actively engage in cross-training to acquire skills and knowledge from various roles within the department
• Collaborate with team members to learn and apply multiple functions across different job positions to support departmental objectives

Quality 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
• 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
• Performing other duties as requested by management

Senior Auditor – Corporate Treasury

• 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

• Audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures
• Gathers findings at a macro level and makes recommendations for process improvement and efficiencies
• Performs professional responsibilities with direct supervision on method and processes
• Performs other duties assigned

Coding Quality Auditor and Specialist

• Assists the Audit Project Manager in planning audit engagements
• Includes performing control testing based on audit program directions; applying appropriate sampling and control testing techniques; identifying and assessing the relevancy of potential issues; and documenting work performed in TeamMate Audit Solutions to support audit scope/conclusion in compliance with CAS Policies, Standards, and Guidelines
• Drafts audit issues under the supervision of the Senior Auditor and Audit Project Manager
• Includes identifying root causes rather than symptoms of control weaknesses, and developing appropriate recommendations
• Collaborates with colleagues and stakeholders to evaluate, test, and report on the adequacy and effectiveness of management controls
• Performs other duties as requested by management

Staff Auditor – Payment Services

• Check in and check out guests with a focus on accuracy and customer service.
• Post charges and payments to guest accounts, ensuring all transactions are accurate.
• Reconcile guest service agents’ paperwork, resolve rate discrepancies, and reconcile credit card totals to the batch report before submitting to the credit card processor.
• Post room and tax charges and ensure departing folios are printed and distributed to guest rooms.
• Reconcile and balance all gift shop paperwork.
• Run the close day on the computer system, run backups, and generate night audit reports for accounting and management.
• Process guest mail, messages, and faxes by receiving, sorting, notifying, and distributing to ensure timely receipt of information.
• Maintain the front desk logbook to enhance communication between shifts and management.
• Practice written safety standards and rules at all times to ensure a secure and safe work environment.

Night Auditor

• Join our team as a Night Auditor at Hyatt Place Milwaukee Downtown.
• This position is responsible for overseeing nightly hotel operations, ensuring accurate guest billing, maintaining financial records, and providing exceptional service during late-night hours.
• Serving as the Manager on Duty during the hours of 11 PM to 7 AM, ideal candidates are detail-oriented, possess strong organizational skills, and thrive in a dynamic hospitality environment.
• Guest Services: Check in and check out guests with a focus on accuracy and customer service.
• Account Management: Post charges and payments to guest accounts, ensuring all transactions are accurate.
• Audit and Reconciliation: Reconcile guest service agents’ paperwork, resolve rate discrepancies, and reconcile credit card totals to the batch report before submitting to the credit card processor.
• Room & Tax Posting: Post room and tax charges and ensure departing folios are printed and distributed to guest rooms.
• Gift Shop & Banquet Reconciliation: Reconcile and balance all gift shop paperwork. Complete the spreadsheet for banquet event orders and post accordingly.
• System Maintenance: Run the close day on the computer system, run backups, and generate night audit reports for accounting and management.
• Communication: Process guest mail, messages, and faxes by receiving, sorting, notifying, and distributing to ensure timely receipt of information.
• Department Logbook: Maintain the front desk logbook to enhance communication between shifts and management.
• Safety Standards: Practice written safety standards and rules at all times to ensure a secure and safe work environment.
• Physical Requirements: Must be able to stand for extended periods of time, with frequent walking, bending, and crouching required.
• Flexible Scheduling: Due to the business demands of the hospitality industry, employees may be required to work rotating shifts, including weekends, night shifts, and/or overtime. Hours may vary depending on business needs.

• Under the supervision of leadership, Staff Auditor will perform testing of controls at various Fiserv business departments and programs, to ensure adherence to policies, procedures and regulations
• Document audit findings, preparing audit reports, and presenting results to management, highlighting areas for improvement
• Offering actionable recommendations to enhance operational efficiency, effectiveness, and adherence to industry standards
• Validate through testing the implementation of corrective actions and conducting follow-up audits to ensure that identified issues have been addressed
• Work closely with other departments to promote a culture of compliance and continuous improvement within the organization
• Keep informed about changes in regulations, industry standards, and best practices in auditing and compliance

Internal Staff Auditor

• Oversee and manage the entire audit lifecycle for each assigned audit, including planning, executing fieldwork, scheduling interviews, and conducting audit tests
• Apply the Internal Audit methodology and standards throughout the audit process
• Prepare and lead internal and external status meetings
• Document test results and conclusions effectively
• Prepare draft issues for audit reports
• Direct the work of Staff Auditors, identify risks and dependencies, and ensure quality and timely work products
• Provide coaching and feedback to Staff Auditors
• Contribute to the continuous professional development of the staff

Senior Internal Auditor

• Assisting the audit team management in planning audit engagements across multiple audit teams
• Performing or supervising staff auditors in the testing of controls based on audit program directions
• 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
• Proactively managing assignments to ensure smooth handoffs between teams and consistent, efficient use of time and resources year-round
• Learning from and applying coaching received
• Performing other duties as requested by management

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Clinical Provider Auditor II – Payment Integrity

Clinical Provider Auditor II – Payment Integrity

Senior Auditor – Banking Products

Senior IT Auditor

Coding Quality Auditor, Specialist

Automotive Management Systems Auditor

Quality Auditor

Senior Auditor – Corporate Treasury

Senior Internal Auditor – Compliance

Quality Auditor

Coding Quality Auditor and Specialist

Staff Auditor – Payment Services

Night Auditor

Night Auditor

Internal Staff Auditor

Senior Internal Auditor

Senior Auditor Generalist – Professional Practices