Senior Compliance Program Auditor

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US - AZ - Phoenix time type:
Full time posted on:
Posted Todayjob requisition :
R26-12546
** Help us change lives
** At Exact Sciences, we’re helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you’re working to help others.
** Position Overview
** The Senior Compliance Program Auditor will play a critical role in ensuring the accuracy, integrity, and compliance of the organization’s billing practices. This individual 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 role may assist on audits related to interactions with HCPs/HCIs, third party vendors, and/or international distributors.

The Senior Compliance Program Auditor will also help identify regulatory risks, provide actionable insights, and support the development of a strong internal control environment. This role requires a deep understanding of internal audit standards, compliance requirements, and is familiar with healthcare billing as well as strong analytical and problem-solving skills.

This position is remote.
** Essential Duties
** Include, but are not limited to, the following:
* 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.
* Conduct and document audits and reviews of third party vendors, international distributors, and interactions with HCPs/HCIs and other high-risk interactions to assess compliance with regulatory requirements and company policy.
* 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.
* Identify potential weaknesses in revenue cycle functions and activities and proactively suggest improvements to address them.
* Lead walkthroughs, document narratives, and test assigned processes and controls for Exact Sciences’ laboratory entities to ensure compliance with all policies, procedures, and processes.
* Prepare internal audit reports, participate in close meetings, and present summaries internally.
* Make process improvement suggestions to company management based on audit results.
* Follow up on outstanding compliance issues from previous audits.
* Liaise with external auditors including, but not limited to, documentation, testing, coordination, and follow ups related to findings, as needed.
* Utilize interdepartmental collaboration skills to engage across teams.
* Ability to analyze processes and determine if adequate controls are in place and appropriate for the related activity.
* Ability to take direction and independently work towards achievement of projects.
* Ability to articulate complex information into understandable terms and effectively communicate at all levels within an organization.
* Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork.
* Support and comply with the company’s Quality Management System policies and procedures.
* Maintain regular and reliable attendance.
* Ability to act with an inclusion mindset and model these behaviors for the organization.
* Ability to work designated schedule.
* Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day.
* Ability to work on a computer and phone simultaneously.
*…