Exact Sciences

Changing the way we think about detecting and treating cancer.

Senior Compliance Program Auditor

Full TimeRemoteTeam 5,001-10,000Since 1995H1B SponsorCompany SiteLinkedIn

Location

Arizona + 2 moreAll locations: Arizona, California, Wisconsin

Posted

5 days ago

Salary

$101K - $138K / year

Bachelor Degree3 yrs expEnglish

Job Description

• Assist with planning, fieldwork, and documentation of audits and reviews of laboratory revenue cycle operations to assess compliance with regulatory requirements. • Analyze billing data and trends to detect and prevent fraud, waste, abuse, and potential coding issues through the use of data analytics. • Conduct and document audits and reviews of third party vendors, international distributors, and interactions with HCPs/HCIs and other high-risk interactions to assess compliance with regulatory requirements and company policy. • Work with other compliance and legal staff to investigate and resolve reported compliance concerns related to revenue cycle functions. • Maintain awareness of the federal, state, and local regulatory environment related to the reimbursement of laboratory services to monitor relevance to the Exact Sciences’ Compliance Program. • Identify potential weaknesses in revenue cycle functions and activities and proactively suggest improvements to address them. • Lead walkthroughs, document narratives, and test assigned processes and controls for Exact Sciences’ laboratory entities to ensure compliance with all policies, procedures, and processes. • Prepare internal audit reports, participate in close meetings, and present summaries internally. • Make process improvement suggestions to company management based on audit results. • Follow up on outstanding compliance issues from previous audits. • Liaise with external auditors including, but not limited to, documentation, testing, coordination, and follow ups related to findings, as needed. • Utilize interdepartmental collaboration skills to engage across teams. • Ability to analyze processes and determine if adequate controls are in place and appropriate for the related activity. • Ability to take direction and independently work towards achievement of projects. • Ability to articulate complex information into understandable terms and effectively communicate at all levels within an organization. • Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork. • Support and comply with the company’s Quality Management System policies and procedures. • Maintain regular and reliable attendance. • Ability to act with an inclusion mindset and model these behaviors for the organization. • Ability to work designated schedule. • Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day. • Ability to work on a computer and phone simultaneously. • Ability to use a telephone through a headset. • Ability to travel 25% of working time away from work location, may include overnight/weekend travel.

Job Requirements

  • Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field as outlined in the essential duties.
  • 3+ years of experience in a role requiring adherence to process, internal controls, or internal/external audit experience.
  • Demonstrated ability to execute auditing activities.
  • Strong written and oral communication skills.
  • Knowledge of the health care industry, including experience in auditing compliance with the requirements of AdvaMed, FCPA, AKS, FCA, etc.
  • Knowledge of Federal, State and local health care laws and regulations, as well as applicable regulatory agencies.
  • Ability to work both independently and collaboratively with cross-functional teams.
  • Strong analytical skills with the ability to interpret complex data sets and regulations.
  • Advanced skills in Microsoft Office (Specifically Word, PowerPoint, Excel).
  • Demonstrated ability to perform the essential duties of the position with or without accommodation.
  • Authorization to work in the United States without sponsorship.

Benefits

  • paid time off (including days for vacation, holidays, volunteering, and personal time)
  • paid leave for parents and caregivers
  • retirement savings plan
  • wellness support
  • health benefits including medical, prescription drug, dental, and vision coverage

Related Categories

Related Job Pages