Senior Healthcare Internal Audit Manager jobs in United States
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Blackstar · 3 weeks ago

Senior Healthcare Internal Audit Manager

Blackstar is seeking an experienced Healthcare Internal Audit Manager to lead risk-based audits, compliance reviews, and internal control assessments across the organization. This senior role is responsible for the Internal Audit Work Plan and ensuring compliance with various regulations while providing insights to executive leadership.

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Responsibilities

Lead, mentor, and manage internal audit staff; oversee audit teams and workflows
Develop, execute, and report on risk-based internal audits, operational audits, and regulatory compliance audits
Maintain and own the Internal Audit Work Plan, including audit scope, frequency, and sampling
Conduct audits of medical records to identify coding discrepancies and ensure regulatory compliance
Collaborate with Compliance Officers and business leaders to address audit findings and corrective actions
Prepare timely, executive-level audit reports for CFO, Compliance Officers, and leadership
Monitor and ensure adherence to CMS guidelines, Federal and State regulations, and company policies
Foster a culture of continuous improvement, transparency, and professional development

Qualification

Healthcare auditingCPTICD-9/10 codingCMS complianceAudit software proficiencyLeadership skillsMicrosoft OfficeMedical terminologyAnatomy knowledgeProject managementOrganizational skills

Required

Bachelor's degree in Business Administration, Healthcare Administration, or related field
5–7 years of healthcare auditing experience; minimum 10 years in supervisory or leadership roles
Expertise in CPT and ICD-9/10 coding, CMS guidelines, and federal/state compliance regulations
Strong project management, organizational, and leadership skills
Proficient in Microsoft Office and audit software
Ability to handle multiple priorities in a fast-paced environment

Preferred

Experience leading internal audit teams of 5+ direct reports
Familiarity with OIG, OMIG, and other healthcare regulatory audits
Knowledge of medical terminology and anatomy

Company

Blackstar

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Blackstar Web Solutions offers customized tech solutions including web design, mobile site development, and digital marketing.

Funding

Current Stage
Early Stage
Company data provided by crunchbase