Auditing Director executes a comprehensive enterprise-wide internal auditing strategy, function, and practice adhering to auditing standards and regulatory requirements. Uses auditing governance frameworks and procedures to plan and manage the auditing schedules, projects, teams, and tasks required to meet defined objectives. Being an Auditing Director engages with other functions across the enterprise, like risk, finance, information technology, and security, to facilitate audits. Prepares audit reports and recommends enhanced controls or processes as needed. Additionally, Auditing Director builds auditing teams and expertise with coaching and developmental initiatives. Requires a bachelor's degree. Typically requires a Certified Public Accountant (CPA). May sometimes require Certified Internal Auditor (CIA). Typically reports to a director. The Auditing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be an Auditing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness –
About ThedaCare!
KEY ACCOUNTABILITIES: 1. Is responsible for supervising the physician coding staff including orientation, training, performance development, competency assessment, and disciplinary actions. 2. Educates the coding team members and other healthcare professionals in the use of coding guidelines, proper documentation techniques, and functions. 3. Evaluates and determines integrity of coding controls and revenue generation is maintained at the highest possible level. 4. Supervises the coding of patient encounters and conducts internal coding audits for accuracy. Is responsible for the timely completion of coding and data/charge entry required in the revenue cycle process. 5. Establishes, implements, and maintains a formalized review process for coding compliance including a formal review (audit) process. Designs and uses audit tools to monitor the accuracy of clinical coding. 6. Monitors Medicare and other payer bulletins and manuals, and reviews the current Office of the Inspector General (OIG) work plans for coding risks. 7. Performs data quality reviews on outpatient encounters to validate the International Classification of Diseases (ICD-9-CM), the Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). 8. Monitors medical visit code selection against facility specific criteria for appropriateness. Assists in the development of such criteria as needed. 9. Identifies patterns, trends, and variations related to provider benchmarks and payer denials. Investigates and evaluates potential causes and takes appropriate steps in collaboration with team members to affect resolution or explain variances. QUALIFICATIONS: • High school diploma or GED • Certified Professional Coder (CPC) • Three years of leadership experience including leading work teams and/or projects • Five years of coding experience PHYSICAL DEMANDS: • Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance • Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties WORK ENVIRONMENT: • Use of computers throughout the work day • Frequent use of keyboard with repetitive motion of hands, wrists, and fingers • Normally works in climate controlled office environment • Frequent sitting with movement throughout office space