Claims Quality Audit Director jobs in Georgia

Description

Location: SGMC Patient Financial Services
Department: INTERNAL AUDIT
Schedule: Full Time

POSITION SUMMARY Manage and direct the Internal Audit function across the Health System, not limited to but including inpatient and outpatient services, and evaluate policies, procedures and systems to appraise and independently report on the system of internal controls. Oversee planning, execution and communication of financial/operational audits based on audit universe and identified risks. Elicit information from knowledgeable internal and/or external sources about areas and functions to determine appropriate audit direction/methodology. Research, stay informed and updated regarding new and revised legislative requirements, new audit regulations/trends and audit methodology. Communicate emerging issues to Internal Audit staff. Conduct special investigations in coordination with Senior Management and External Auditors in the area of fraud or misconduct, as necessary. Assist in the evaluation of new processes and systems that improve organization efficiency and effectiveness or enhance risk mitigation activities. Aid in due diligence for possible new operations or acquisitions. 

KNOWLEDGE, SKILLS & ABILITIES Bachelor Degree in Accounting, Business or related field is required. Masters Degree or CIA/CPA preferred. Minimum 5 years experience in auditing or related field with an excellent working knowledge of internal audit program design and implementation. Ability to interact with all levels of management. Excellent written communication skills required.

WORKING CONDITIONS- ADA INFORMATION

  High visibility position in a comfortable office setting. Substantial sitting and walking required. Must be able to lift 10 to 15 lbs. Manual dexterity required for use of a telephone, calculator and computer keyboard. Working under stress, occasional evening and/or weekend work required. Required sitting for long periods of time reviewing data, preparing reports.