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Internal Compliance Auditor

Nesco Resource Schenectady Full-Time
$65,000.00 - $72,000.00 / year
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A busy healthcare organization has an opening for an Internal Compliance Auditor. Internal Compliance Auditor will be primarily responsible for performing independent auditing and monitoring to ensure compliance with all applicable laws, regulations and policies/procedures.
This position holds primary responsibility for planning, performing and reporting on audits that are focused on Medicare operations including:

  • Conducting audits

  • Monitoring

  • Analyzing results

  • Recommending corrective actions

  • Creating reports

  • Educating

  • Ensuring the implementation of corrective actions

The Internal Compliance Auditor creates tools to plan, coordinate, and perform audits and monitoring areas based on guidance from CMS (Centers for Medicare & Medicaid Services) or other regulatory agencies. You will performs audits of vendors, first tier or downstream and related entities to ensure compliance and identifies, analyzes and researches findings. The Internal Compliance Auditor makes recommendations to improve policies/procedures and communicates the results of audits and monitoring via professionally written reports. Internal Compliance Auditor prepares audit and monitoring results, identifies future risks and presents audit and monitoring reports to applicable business partners.
Education & Experience
' Bachelor's degree required with a minimum of 2 years auditing experience required in managed care, compliance auditing or health insurance compliance auditing.
' Certified Internal Audit (CIA) or Certified in Healthcare Compliance (CHC) a plus
' Clear, concise and accurate audit report writing and presentation skills.
' Ability to review, analyze and interpret regulatory requirements in a clear and concise manner.
' Ability to analyze and trend data to develop value-added reports.
' Demonstrated understanding and experience in auditing CMS, Medicaid, operational standards and other regulatory requirements

Nesco Resource is an equal employment opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or veteran status, or any other legally protected characteristics with respect to employment opportunities.

Recommended skills

Monitoring Results
Internal Auditing
Managed Care


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Internal Compliance Auditor
$65,000.00 - $72,000.00 / year
Estimated Salary: $73K
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Job ID: 19-19520


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