• Senior Internal Auditor

    Requisition ID
    2016-3268
    Category
    Professional
    Facility
    Community Medical Centers - Corporate Offices (CMC)
    Location
    US-CA-Fresno
    Posted Date
    6/19/2018
  • Overview

    Community Medical Centers provides a world of opportunity for professional growth and personal advancement by making the health and financial security of our employee’s a top priority. We embrace our responsibility to the people who make us the largest private employer in the central San Joaquin Valley by offering comprehensive and affordable medical benefits as part of your employment with CMC. We value giving you a choice in your health coverage by providing three medical plan options. You will also be offered prescription drug, dental and vision coverage, paid time off, flexible spending accounts, life and disability insurance, discounts on many goods and services, and an employer matched Tax Sheltered Annuity Plan (403(b)).

     

    Our team members enjoy additional benefits such as: education reimbursement, an employee gym, concierge service, and award winning cuisine.

     

    Based in Fresno, California, we are a multi-specialty healthcare system comprised of four hospitals; Community Regional Medical Center, Clovis Community Medical Center, Fresno Heart & Surgical Hospital, Community Behavioral Health Center. Additionally, our system includes other health care facilities and a physician residency program in conjunction with the University of California, San Francisco. Our primary service area is 15,000-square-miles, and we're home to the only combined, burn and Level 1 trauma center between Los Angeles and Sacramento.

     

    Community Medical Centers is an Equal Opportunity, Affirmative Action employer fully dedicated to achieving a diverse staff. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, veteran status, disability status, sexual orientation, gender identity, or any other protected status.

     

    Responsibilities

    Plans, coordinates and executes review processes/activities of the entities of Community Medical Centers (CMC). Works under the general supervision of the Manager and CAECO and follows departmental policies and procedures as well as limited instructions in carrying out daily tasks. Provides audit and risk assessment services. Assists by reviewing the organizations operations, adequacy of internal controls, compliance with laws and regulations, adherence to policy and procedures, safeguarding of assets, and accuracy of reported financial activities. Supports governance by assuring the organization of the state of the control environment. The Senior Internal Auditor must be a self-starter, must possess sufficient skills, training and experience in healthcare to work independently. Must have proficient level in computer knowledge (including but not limited to; All Microsoft applications, report writing applications and other audit tools). Must have high collaborative, communication and writing skills. Knoweldge of Medicare, third-party requirements, CDM, revenue codes assignments, CPT, HCPCS, ICD-9, ICD-10, DRG, and APC classification systems; medical terminology, billing and reimbursement processes and EHR. Must perform duties honestly, confidentially and objectively. Must possess a deep understanding of healthcare and the laws that regulate its delivery.

    Qualifications

    Experience and Education:

     

    Minimum Required: Bachelor's degree in Accounting, Finance, Information Systems/Computer Science or healthcare related field. Five years of experience assessing risk and performing audits (financial, operational, IT and/or compliance) in a healthcare environment. Experience or additional course work in charge master, documentation, coding and billing for hospitals, accounting, auditing, system analysis, programming or computer operations management. Three years of experience assessing risk and performing audits (financial, operational, IT and/or compliance) in a Hospital environment. PREFERRED: Experience with the following applications: EPIC, Electronic Medical Records (EMR), Lawson and Data Analytics and Continuous Monitoring Software Solutions (ACL). LICENSES/CERTIFICATIONS PREFERRED: Certified Public Accountant (CPA), Certified Internal Auditor (CIA), Certified Information Systems Auditor (CISA) and/or ACL Certified Data Analyst (ACDA).

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