Compliance Audit Advisor Sr

Under the guidance of the VP of Corporate Compliance and Privacy, Chief Compliance/Privacy Officer (or designee), the Senior Compliance Audit Advisor will design, perform, and lead complex-level compliance related audit and advisory projects. Such projects will include ensuring compliance with healthcare regulations, policies, and procedures. The Senior Compliance Audit Advisor will assist in identifying and assessing compliance risks. The role is also responsible for helping foster a culture of continuous process improvement. Responsible for performing job duties in accordance with the mission, vision, values of Tampa General Hospital.

- Communicate findings, conclusions, and recommendations; potential areas of concern; opportunity, and/or risk; and degree of compliance with established policies or regulatory requirements.
Identify potential compliance risks and vulnerabilities within the organization's operations.
Performs research on various compliance topics, including, for example, new and existing regulations, best practices to assess implications on the organization.
Plans and designs audit programs, conducts audit interviews, obtains/reviews background information, industry data, and reviews departmental procedures, working directly with the auditees staff.
Prepares compliance risk control matrices, gap assessments, conducts audit fieldwork including performance of audit tests of internal controls of both the design and operating effectiveness.
Analyzes audit evidence, prepares audit workpapers, evaluates test results, and draws risk-based

conclusions, and writes the formal audit or advisory reports on the adequacy and effectiveness of compliance areas and/or controls.
Prepares and maintains audit project time budgets and productivity expectations and review of work of peers/team members on a project basis for the successful completion of assigned

Qualifications

• Bachelor's Degree in Business, Accounting, or Healthcare related field
• Certified Public Accountant (CPA) (upon hire or within 18 months of hire)
• Certified Internal Auditor (CIA) (upon hire or within 18 months of hire)
• Certified in Healthcare Compliance (CHC) (upon hire or within 18 months of hire)
• Other relevant billing, coding or auditing certification (upon hire or within 18 months of hire)
• Five (5) years in a healthcare compliance auditing role.
• Demonstrates current knowledge of federal and state regulations governing the healthcare industry.
• Expertise in audit methodologies, techniques, and analytical and problem-solving skills.
• Evaluates the adequacy and effectiveness of the system of compliance controls in assigned areas.
• Demonstrates active listening, strong communication, and presentation skills to effectively convey audit findings to stakeholders.
• Knowledge of CPT/HCPCS codes, ICD-10 guidelines, LCDs/NCDs, and other payment methodologies unique to government payors.
• Ability to manage multiple compliance audit projects simultaneously, ensuring timely and thorough completion.
• Maintain records, reports, and documentation related to compliance audit activities.
• Attention to detail and ability to maintain confidentiality when handling sensitive information.
• Conflict management skills, considers alternative actions, when necessary, in approaching problem solving.