Audit and Compliance Specialist

2 days ago

Madison, Wisconsin, United States Exact Sciences Careers Full time
Senior Billing Compliance Auditor Role

Exact Sciences Careers is seeking a skilled Senior Billing Compliance Auditor to join our team. This role plays a critical part in ensuring the accuracy, integrity, and compliance of our organization's billing practices.

About the Job

The Senior Billing Compliance Auditor will execute audit projects, assess risks associated with billing, regulatory, and operational risk, and work closely with internal teams to implement corrective actions and improve processes. This individual will also help identify regulatory risks, provide actionable insights, and support the development of a strong internal control environment.

  • 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.
  • 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.
Key Responsibilities

The successful candidate will be responsible for:

  • Conducting documentation walkthroughs and testing of assigned processes and controls for Exact Sciences' laboratory entities to ensure compliance with all policies, procedures, and processes.
  • Preparing internal audit reports, participating in close meetings, and presenting summaries internally.
  • Making process improvement suggestions to company management based on audit results.
  • FOLLOWING up on outstanding compliance issues from previous audits.
  • Liaising with external auditors including, but not limited to, documentation, testing, coordination, and follow ups related to findings, as needed.
Requirements

To succeed in this role, you will need:

  • Bachelor's degree in Accounting, Finance, Healthcare Administration, or a related field as outlined in the essential duties.
  • 2+ years of Big 4 accounting firm experience or 4+ years of experience in a role requiring adherence to process, internal controls, and internal/external audit experience. Demonstrated ability to execute auditing activities.
  • Strong written and oral communication skills.
  • Ability to work both independently and collaboratively with cross-functional teams.
  • Strong analytical skills with the ability to interpret complex data sets and regulations.
Salary and Benefits

This position comes with a competitive salary of $115,000 per year, making it an attractive opportunity for experienced professionals. As a valued member of our team, you will enjoy benefits such as paid time off, health insurance, and retirement savings plan.

Please note that the annual base salary shown is a national range for this position on a full-time basis and may differ by hiring location.

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