Healthcare Internal Auditor

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.

Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).

Education

• Bachelor’s degree in business, finance, health care operations, or a clinical field
• Substantial work-related experience as an auditor, along with academic credentials, may serve as a substitute.

Experience/Qualifications

• At least three (3) years healthcare Audit or Compliance background, preferably in healthcare provider or payor, clinical coding, or revenue cycle environment.
• Experience in use of the electronic medical record (EMR) preferred.
• Ability to interpret and apply Medicare and Medicaid documentation and coding rules and regulations.
• Proficiency Word, Excel, Power Point required. This position will be required to regularly generate and manipulate data in Excel.
• Clinical (RN, LPN, CAN, CMA) credential a plus but not required.
• Excellent organization skills
• Understanding of national and state laws and regulations including but not limited to:

• False Claims Act
• Physician Self-Referral (Stark) Anti-kickback statute
• Health Insurance Portability Act (HIPAA)
• Health Information Technology for Economic and Clinical Health (HITECH)

Position Summary

The Healthcare Internal Auditor utilizes regulatory expertise to conduct effective risk assessments and assist in preparing annual audit plan. As this position is a member of the Compliance Department this role will be responsible for, in addition to Internal Auditing, assisting the Compliance Officer in administering the Corporate Compliance Program.

• Develop comprehensive audit programs to address risks and evaluate compliance with governmental or other regulatory requirements.
• Assess control weaknesses by conducting independent audits according to the annual audit plan and develop appropriate documentation to support audit work performed.
• Prepare reports and work with management to develop action plans that are suitable for the organization.
• Measure and track results of audits performed through action plan follow-up. 
• Maintain current knowledge base of governmental and regulatory requirements and provide education to management and governance as needed concerning organizational risks and their potential impact. 
• Maintaining databases and reporting processes managed by the Compliance Department.
• Participates in the analysis, design/revision, and delivery of compliance-related training and education programs with respect to state law, federal law, and accreditation standards along with policies and procedures. This may include scheduling of training sessions and maintenance of training records, and assisting in developing training modules, where needed.
• Assists in the preparation of documents for the internal Compliance Committee meetings and Audit Committee meetings.
• Assists in the development, initiation, maintenance and revision of departmental policies and procedures, workflows, and related activities.
• Perform other duties as assigned.

Team Member Competencies

Establishing Relationships

Builds effective networks, working relationships, and alliances in order to collaborate effectively within department and organization. Can relate to all kinds of people regardless of background; find topics and common interests that can be used to build rapport with others.

Peer Support

Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and perform effectively within the team.

Inspiring and Motivating Others

Fosters commitment and cohesiveness by facilitating cooperation and working as a team within the organization toward goal accomplishments. Work well with others, build consensus, and ensure cooperation to complete tasks and positive workflow.

Demonstrating Emotional Intelligence

Exercises self-leadership, self-awareness, and self-regulation; manages emotions so that they are expressed appropriately; leads others by showcasing adaptability, empathy, and social skills.

Acting with Integrity

Interacts with others in a way that is seen as direct and truthful; ensures confidence in individual and organizational motives and representations. Acts in a way that is consistent with personal and organizational values by keeping confidence, promises, and commitments. Clearly states goals and beliefs; informs people of their true intentions, does what they say they will do; follows through on commitments.

Being a Champion for Change and Innovation

Supports people in their efforts to try new things. Thinks creatively, generates novel and valuable ideas, and uses these ideas to develop new or improved processes. Accepts new ways of doing things and adapts to change.

Communicating Effectively

Speaks and writes clearly, conveys information in a concise, organized, and logical manner. Is adept at tailoring the message to fit the interests and needs of the audience. Listens attentively and exercises tact, discretion, and diplomacy when interacting with members of the department and organization.

Promoting Diversity and Inclusion

Treats all people with dignity and respect. Demonstrates an open-minded approach to understanding people regardless of their gender, age, race, national origin, religion, ethnicity, disability status, or other characteristics. Challenge’s bias and intolerance. Develops all-inclusive groups in the realms of social interaction and communication. Shows respect for the beliefs of others; encourages and promotes practices that support cultural diversity; discourages behaviors or practices that may be perceived as unfair, biased, or critical toward people with certain backgrounds.

Physical Requirements

Requires sitting for long periods of time, also stooping, bending, standing, and stretching. May require lifting up to 20 lbs. Must have manual dexterity for typing and computer data entry. Able to work under a stressful environment, work independently, capable of making sound decisions, be detail oriented, alert, and self-motivated. Ability to push/pull up to 40lbs., carry and lift up to 20lbs.

Threshold Requirements

• These threshold requirements are required and completed on a yearly basis.
  • Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation.
  • TB/PPD Surveillance Program
  • Maintenance of required professional licensing and/or certification(s).

This is not necessarily an extensive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or require that other or different tasks be performed when circumstances change. I have reviewed these job requirements and verify that I can perform all essential functions of this position.