Corporate Compliance Auditor

ARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, DISABILITY, PROTECTED VETERAN STATUS OR ANY OTHER CHARACTERISTIC PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS.

CURRENT EMPLOYEES : Please apply via the internal career site by logging into your Workday Account (https : / / www.myworkday.com / archildrens / )and search the "Find Jobs" report.

Work Shift : Day Shift

Time Type : Full time

Department :

CC407515 Corporate Compliance

Summary :

Monday to Friday, 40 hours per week - Flexible work arrangement (onsite, remote or hybrid)

Plans and conducts audits, reviews, investigations, and projects to ensure compliance with state and federal laws and regulations, accreditation and industry requirements, and internal policies and procedures. Identifies risks, provides education and training, and participates in compliance program activities to maintain an effective system-wide Corporate Compliance Program.

Additional Information :

• Perform audits of coding and documentation for compliance.
• Identify risks and recommend corrective actions.
• Educate providers and staff on audit findings and compliance best practices.
• Collaborate with compliance leadership to improve billing integrity.

AC2025

Required Education : Bachelor's Degree

Recommended Education :

Master's Degree

Required Work Experience :

Related Field - 4 years of experience

Recommended Work Experience :

Required Certifications :

1 of the following certifications is required -

Recommended Certifications :

Certified Health Care Compliance (CHC) Or Certified Professional Compliance Officer (CPCO) - -, Certified in Healthcare Research Compliance (CHRC) - Compliance Certification Board, Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), CHC required within one year of hire or eligibility (For Non Research Compliance Auditor) - Compliance certification Board, CHRC required within one year of hire or eligibility (For Research Auditor) - Compliance certification Board, CPCO required within one year of hire or eligibility (for Non research Compliance Auditor) - American Academy of Professional Coders

Description

1. Develops and / or maintains understanding of organization and its subsidiaries organizational structure and lines of authority, an understanding of internal audit policies, procedures, and practices.

2. Researches areas to be audited to identify and assess any risk associated with project area. Conducts field work and / or information gathering in effective, efficient, and professional manner.

3. Performs compliance monitoring and auditing of assigned areas according to applicable standards as part of the compliance auditing team.

4. Prepares comprehensive supporting documentation for audit findings and recommendations and / or proposed resolutions. Ensures that the audit, review, project or investigation is completed by the established deadline, work papers are complete, and team-assigned work has been reviewed.

5. Writes audit reports, audit memoranda, or project reports in a timely manner. Submits reports to internal or external boards as required.

6. Conducts exit conference to discuss findings, areas of risk and proposed solutions. Monitors resolution implementation and tracks results.

7. Develops and provides on-going compliance education and training regarding general compliance matters and issues identified during audits, reviews, projects, and investigations. Participates in the preparation of compliance-related communications and education / training materials.

8. Monitors appropriate state, federal, and industry websites and publications to identify and monitor emerging issues and areas of concern. Consults on an ad hoc basis regarding compliance issues as needed.

9. Performs other duties as assigned.