Job Description

SUMMARY

The Senior Internal Auditor completes audits involving complex financial, operational, compliance and strategic risk areas, to determine efficiency, effectiveness and alignment with internal policies/procedures, regulations, industry standards and best practices.

The Senior Internal Auditor identifies and reports audit issues to improve business operations and minimize organization risk, and also serves as a technical resource on questions related to internal controls and general compliance/policy issues. Identifying, analyzing, and assessing the complex enterprise-wide environment, responding to regulatory compliance inquiries and issues, and addressing compliance program needs are also functions of this position.

The Senior Internal Auditor is well versed in healthcare financial processes, internal controls, regulations, policies, and procedures, and serves as a protector of revenue for the Munson Healthcare System (Munson) through the completion of these audits and the provision of advisory/consultative services.

The ideal candidate has excellent leadership and analytical thinking skills; excellent verbal and written communication skills; is flexible and adaptable; and experienced leading and managing audit and compliance initiatives through teamwork, collaboration and open communication.

ENTRY REQUIREMENTS:

Bachelor's degree from an accredited college or university in accounting and/or a related field.
CPA or CIA certification is preferred.
Minimum of four years of healthcare experience, preferably in accounting, auditing, compliance, coding and billing, or other directly relevant areas.
Solid knowledge of audit procedures, generally accepted auditing standards, internal control documentation, and risk assessment, preferably as related to healthcare.
Critical thinker with excellent research and analytical skills.
Self-starter with demonstrated leadership potential and strong time management skills.
Excellent written and verbal communication skills; ability to effectively and collaboratively deal with conflicting views and mediate fair solutions at all levels in the organization, including clinical and non-clinical support staff, practice managers, physicians, and senior leadership.
Proficient with computers and various Microsoft Office software, particularly Word, Excel, and PowerPoint. Must be adaptable to learning new software systems, including billing, clinical, and financial systems.

ORGANIZATION: The position reports to the System Director - Internal Audit/Corporate Compliance Officer who reports directly to the Munson Healthcare Board’s Audit Committee and administratively to the Munson Healthcare CEO. The Internal Audit department serves all of the Munson Healthcare owned entities as well as our affiliate, Kalkaska Memorial Health Center.

The Senior Internal Auditor interacts with senior leaders, providers, management and virtually all levels of employees, as well as external parties such as consultants and auditors, in a complex multi-entity environment.

SPECIFIC DUTIES:

Support the Mission, Vision and Values of Munson Healthcare.
Embrace and support the Performance Improvement philosophy of Munson Healthcare with a focus on True North.
Promote personal and patient safety.
Use effective customer service/interpersonal skills at all times.
Design and perform internal audits by reviewing the efficiency and effectiveness of departmental operations and the adequacy of internal controls, assessing risk, and verifying compliance with regulatory and contractual requirements and internal policy.
Perform all aspects of the audit including planning and developing the audit program, interviewing stakeholders, data analysis, testing of controls, and preparing accurate work papers to substantiate findings, including any process gaps and deficiencies.
Generate final written report of audit findings and effectively verbally communicate audit results to a wide-audience of internal stakeholders that may include hospital service line administrators and management, physicians, coders, billing staff, and others as appropriate. Evaluate the adequacy of management corrective action for the identified issues. Senior leadership and the Munson Healthcare Audit Committee receive these final audit reports.
Perform follow up procedures on the status of outstanding audit issues and validate that corrective action plans have been implemented and are effective.
Manage the monthly screening for sanctioned individuals/entities through an external vendor, by obtaining employee, provider, and vendor files; properly formatting and submitting the files; researching and resolving potential matches. Provide training for other internal users of the screening tool. Monitor processes to ensure on-going efficiency.
Establish trusted consultative/advisory relationships in order to serve as a resource for department managers, staff, physicians and administration for best practices, internal controls, risk assessment, accurate/ethical coding and documentation standards, guidelines and regulatory requirements.
Pull data using the MHC business intelligence platform and the data warehouse.
Research various regulatory or other compliance related questions through the use of the internet, provider manuals, coding books, CMS websites and other tools, and prepare complete and accurate responses to stakeholders.
Assist in the development of the annual Internal Audit Plan and overall risk assessment for the Munson Healthcare system through review of the OIG Work Plan and other external sources for targeted areas that may affect Munson and gathering input from internal stakeholders.
Support external auditors during the Munson Healthcare system annual year-end financial statement audit and employee benefit plan audits, as necessary.
Represent Internal Audit at the monthly New Leader Assimilation meeting by presenting an overview of Internal Audit’s structure and services; update presentation as needed.
Maintain up-to-date knowledge of developments related to business matters of interest to Internal Audit, particularly legislation changes and developments that affect the Munson Healthcare system, accounting pronouncements/standards, and new auditing techniques and practices.
Gain knowledge in medical record documentation, medical necessity requirements, and charge capture and billing in order to handle compliance audits focused in coding/billing risk areas.
Perform other duties or special projects as assigned by the System Director - Internal Audit.

This job was posted on Sun Apr 26 2020 and expired on Wed Apr 29 2020.

Minimum $53K /yr

$88K /yr Average

Maximum $136K /yr

Tasks

Prepare detailed reports on audit findings.

Report to management about asset utilization and audit results, and recommend changes in operations and financial activities.

Collect and analyze data to detect deficient controls, duplicated effort, extravagance, fraud, or non-compliance with laws, regulations, and management policies.

Supervise auditing of establishments, and determine scope of investigation required.

Inspect account books and accounting systems for efficiency, effectiveness, and use of accepted accounting procedures to record transactions.

Prepare, analyze, and verify annual reports, financial statements, and other records, using accepted accounting and statistical procedures to assess financial condition and facilitate financial planning.

Review data about material assets, net worth, liabilities, capital stock, surplus, income, and expenditures.

Examine and evaluate financial and information systems, recommending controls to ensure system reliability and data integrity.

Confer with company officials about financial and regulatory matters.

Inspect cash on hand, notes receivable and payable, negotiable securities, and canceled checks to confirm records are accurate.

Examine records and interview workers to ensure recording of transactions and compliance with laws and regulations.

Examine inventory to verify journal and ledger entries.

Evaluate taxpayer finances to determine tax liability, using knowledge of interest and discount rates, annuities, valuation of stocks and bonds, and amortization valuation of depletable assets.

Examine whether the organization's objectives are reflected in its management activities, and whether employees understand the objectives.

Audit payroll and personnel records to determine unemployment insurance premiums, workers' compensation coverage, liabilities, and compliance with tax laws.

Review taxpayer accounts, and conduct audits on-site, by correspondence, or by summoning taxpayer to office.

Examine records, tax returns, and related documents pertaining to settlement of decedent's estate.

Produce up-to-the-minute information, using internal computer systems, to allow management to base decisions on actual, not historical, data.

Direct activities of personnel engaged in filing, recording, compiling, and transmitting financial records.

Conduct pre-implementation audits to determine if systems and programs under development will work as planned.

Skills

Reading Comprehension - Understanding written sentences and paragraphs in work related documents.

Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Writing - Communicating effectively in writing as appropriate for the needs of the audience.

Speaking - Talking to others to convey information effectively.

Mathematics - Using mathematics to solve problems.

Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.

Monitoring - Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.

Coordination - Adjusting actions in relation to others' actions.

Persuasion - Persuading others to change their minds or behavior.

Negotiation - Bringing others together and trying to reconcile differences.

Complex Problem Solving - Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

Judgment and Decision Making - Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Systems Analysis - Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.

Time Management - Managing one's own time and the time of others.

Management of Personnel Resources - Motivating, developing, and directing people as they work, identifying the best people for the job.

Knowledge

Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.

Economics and Accounting - Knowledge of economic and accounting principles and practices, the financial markets, banking and the analysis and reporting of financial data.

Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

Computers and Electronics - Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

Mathematics - Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.

English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

Law and Government - Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.