Director of Internal Audits

Melville, United States | Posted on 01/27/2026

Healthcare Industry | No Relocation Assistance | No Visa Sponsorship

A healthcare organization is seeking an experienced Director of Internal Audits to provide strategic oversight of the internal audit function and ensure strong governance, risk management, and internal control practices across the organization. This role is responsible for developing and executing a comprehensive, risk-based internal audit workplan, with a strong emphasis on regulatory compliance, billing integrity, and healthcare coding standards.

This position requires a senior leader with deep healthcare audit experience, strong regulatory knowledge, and the ability to collaborate across clinical, compliance, and executive teams.

The Director of Internal Audits leads the organization’s internal audit program, providing independent and objective assessments of operational, financial, and regulatory risks. This role owns the Internal Audit Work Plan, oversees audit execution and reporting, partners closely with Compliance and executive leadership, and ensures preparedness for external regulatory reviews.

Own and maintain the Internal Audit Work Plan, including audit scope, frequency, and sampling methodology

Ensure audits are performed and documented in accordance with internal standards and regulatory expectations

Design and execute annual and long-term audit plans aligned with organizational risk

Regulatory & Compliance Audits

Plan and oversee audits reviewed by regulatory bodies such as OIG and OMIG

Partner with Compliance Officers to support Compliance Work Plans and shared audit initiatives

Assess adherence to federal and state healthcare regulations, CMS guidelines, and billing requirements

Oversee audits of medical record documentation to identify under coding and over coding

Review audit findings and communicate results to physicians for education and compliance awareness

Research and respond to inquiries related to compliance, coding issues, denials, and billable services

Serve as the primary liaison between Internal Audit, executive leadership, and department heads

Prepare and present audit reports to Executive Management, Compliance, and Finance leadership

Lead, mentor, and develop internal audit staff; promote accountability and continuous improvement

Collaborate across departments including clinical operations, informatics, managed care, and billing

Operational Excellence

Conduct risk assessments and support corrective action planning

Promote ethical practices, transparency, and strong internal controls

Stay current on regulatory, coding, and compliance changes through ongoing education

Bachelor’s degree in Business Administration, Healthcare Administration, or related field

Minimum 5–7 years of auditing experience , preferably in a healthcare environment

10+ years of supervisory or leadership experience

Strong knowledge of CPT codes, ICD-9/10 codes, and CMS guidelines

Understanding of federal and state healthcare compliance regulations

Experience auditing medical documentation, billing, and coding practices

Proven ability to lead and manage audit teams

Strong analytical, investigative, and problem-solving skills

Excellent written and verbal communication skills

Ability to manage multiple priorities in a fast-paced environment

High attention to detail with strict confidentiality standards

Proficiency with Microsoft Office and audit documentation tools

Strong project management and cross-functional collaboration skills