Internal Audit Coordinator

Job Description Summary

Under this supervision, the Coordinator assists with maintaining a comprehensive recovery audit program including but not limited to MDaudit, External Audit workflow, pro-active record review, appeals, education and reporting.  More specifically, the Coordinator will maintain, respond, and report recovery audit program correspondence, activity, and results.  The Coordinator will create and disseminate reports and benchmarking, as well as educate stakeholders to correct deficiencies or opportunities for improvement.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC002278 SYS - Compliance Program

Pay Rate Type

Salary

Pay Grade

Health-29

Scheduled Weekly Hours

40

Work Shift

Job Description

The Internal Audit Coordinator conducts, and provides oversight to, the audits performed and monitored by the Compliance Department.  This position reports to the Compliance Director of Billing Integrity and Audit Services and guides the work performed by the Compliance Auditors.  The Coordinator assists with preparing and executing the annual risk assessment and the associated audit workplan, as well as ensures timely and accurate completion. The Coordinator also provides education and training to the Compliance Auditors as needed, as well as to various stakeholders across the organization as needed or requested.   

 

More specifically, the Coordinator (1) conducts research for and insight to the annual risk assessment, (2) remediates specific coding and documentation questions and concerns; (3) develops and/or administers on-going coding and documentation education; (4) conducts and/or oversees a variety of auditing and monitoring of activities, 5) researches and responds to coding and documentation related questions; (6) stays abreast of and communicates changes to coding and documentation regulations; (7) provides relevant outcomes to and collaborates with the Regulatory Audit Manager to assist with External Audits; (8) participates in audit planning, reporting, and communication of results to applicable leaders and stakeholders; and (9) maintains the compliance database for all audit-specific activities conducted.

A bachelor’s degree plus 3 years auditing/coding/billing experience, or an associate degree plus 5 years of auditing/coding/billing experience, or a high school diploma or equivalent plus 10 years of auditing/coding/billing experience preferred. 

Applicant must be credentialed as a coder or similar professional body (RN, RHIA, CPC, etc) that lends to compliance auditing. 

20%-Provides input to and participates in the annual risk. Creates an audit schedule that considers external audit activity in order to prioritize risk mitigation.

40%-Conducts audits, as well as schedules and monitors the compliance audit workplan. Coordinates audit planning and pre and post audit conferences with stakeholders. Monitors outcomes to ensure audit reports are accurate and include corrective action plans. Monitors the quality of the audits performed by auditors. 

25%-Assists with remediation coding/billing/documentation specific allegations and concerns brought forth from inside and outside the department (i.e. hotline, privacy line, internal, exit interviews, etc.).

15%-Oversees the internal audit platform and database.

Additional Job Description

Education: Bachelors Degree or equivalent Work Experience: 4-6 years

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees