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Emory Healthcare · 18 hours ago

Corporate Director, Compliance Auditor

Atlanta, GA

Full-time

Hybrid

Director/Executive

7+ years exp

Emory Healthcare is the most comprehensive academic health system in Georgia, and they are seeking a Corporate Director, Compliance Auditor to lead the evaluation and strengthening of the organization's compliance program. This role involves conducting complex compliance audits, advising leadership on regulatory risks, and providing mentorship to compliance teams.

Health CareMedical

Responsibilities

Lead the development and execution of the annual healthcare compliance audit and monitoring plan based on enterprise risk assessments

Advise the Chief Compliance Officer, Compliance Committee, and executive leadership on regulatory risk exposure, audit findings, and remediation priorities

Provide mentorship and technical oversight to compliance auditors, analysts, or coders, as applicable

Prepare and present executive and Board-level audit reports and trend analyses

Lead and perform audits to assess the design and effectiveness of internal controls, policies, and compliance safeguards in high-risk areas identified in the risk assessment

Identify root causes, systemic risks, and potential overpayment exposure

Ensure audit workpapers meet legal defensibility and regulatory standards

Support internal investigations related to potential fraud, waste, abuse, or regulatory noncompliance

Assist with government audits, payer audits, RAC audits, and regulatory examinations

Support overpayment identification, quantification, and repayment in coordination with Legal and Finance Corrective Action & Continuous Improvement

Oversee development and implementation of corrective action plans (CAPs)

Validate remediation through follow-up audits and ongoing monitoring

Enhance continuous monitoring tools, dashboards, and audit methodologies

Partner with operational leaders to improve documentation, controls, and compliance culture

Travel to Emory Affiliated locations as required

Additional Duties as Assigned

Qualification

Healthcare Compliance AuditingMedicareMedicaid billingHIPAA PrivacySecurityRisk-based compliance auditsAdvanced analytical skillsClinical documentation standardsExecutive presenceIndependenceObjectivityInfluenceTechnical oversightCommunication skills

Required

Education: Bachelor's degree in Healthcare Administration, Nursing, Health Information Management, Accounting, Finance, or related field

Experience: 7 years of progressive experience in healthcare compliance auditing, internal audit, or regulatory compliance

Medicare and Medicaid billing rules

Clinical documentation and coding standards

HIPAA Privacy and Security Rules

Physician compensation and contracting requirements

Proven experience conducting risk-based compliance audits in a provider environment

Excellent ability to communicate complex compliance issues to clinical leaders and executives

Deep healthcare regulatory expertise

Clinical and operational acumen

Executive presence and judgment

Independence and objectivity

Advanced analytical and investigative skills

Ability to influence clinicians and administrators

Preferred

Education: Master's degree (MHA, MBA, MSN, JD, or related)

Experience: in hospital systems, academic medical centers, or multi-site provider organizations. Familiarity with EHR systems, revenue cycle workflows, and clinical operations

Experience supporting OIG audits, DOJ inquiries, CMS surveys, or payer investigations

Certification: Professional certifications strongly preferred: CHC, CHPC, CHC-F, CIA, CPA, CFE, RHIA, RHIT, CCS, CPC