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Healthcare Systems Revenue Cycle Compliance Auditor
UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together.
Quality at UnitedHealth Group means striving for excellence in everything we doin order tohelp us achieve our Mission. Simply put,it'sinour DNA and whywe'rein business - to help people.Our Mission serves as ourwhy;ourValuesunite us aroundhow we willachieve it. Because when we follow our Mission and live our Values, we deliver Quality.
We are seeking a detail-oriented and analytical professional to join our team as a Healthcare System Revenue Cycle Compliance Auditor. This role is responsible for planning and conducting audits of financial, operational, and compliance processes across the revenue cycle. The ideal candidate will have a strong understanding of healthcare regulations, exceptional data analysis skills, and the ability to identify and mitigate compliance risks. They will collaborate closely with business leaders and compliance teams to ensure operational integrity, regulatory adherence, and continuous process improvement. A successful candidate will be proactive, highly organized, and committed to delivering high-quality, value-added audit services.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Audit Planning & Execution
Plan, organize, and conduct financial, operational, and compliance audits of the revenue cycle
Evaluate front-end and back-end revenue cycle processes to identify compliance risks and strengthen controls
Perform risk assessments to identify and prioritize audit focus areas
Reporting & Follow-Up
Prepare clear, concise, and objective audit reports with findings, observations, and recommended corrective actions
Ensure adequacy and timely completion of corrective action plans
Monitor implementation of corrective actions and provide consultation as needed
Risk & Compliance Monitoring
Identify business risks and recommend efficiency improvements
Stay current on healthcare regulations and compliance trends
Research and synthesize regulatory information for stakeholders in an understandable format
Collaboration & Relationship Management
Develop and maintain strong working relationships with compliance leadership, legal teams, and subject matter experts
Partner with business leaders and functional owners to support compliance initiatives
Quality & Process Improvement
Deliver high-quality work products consistently
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Contribute to team goals and suggest improvements to compliance processes
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- 5 experience with hospital Revenue Cycle processes, controls, and regulations gained through healthcare compliance or audit experience
- 5 experience in process auditing, including data acquisition and analytics, workpaper preparation, professional report writing and process visualizations, including:
- Exceptional data analysis capabilities to interpret complex information and identify trends or risks
- Expertise in researching and auditing to Federal and State regulations, payer guidelines, regulatory agency publications and industry standards for hospitals and physician practices
- Professional designation in one or more of the following areas or similar:
- Certified Healthcare Internal Auditor Professional (CHIAP)
- Certified Internal Auditor (CIA)
- Certified Public Accountant (CPA)
PREFERRED SKILLS/ QUALIFICATIONS
- Experience with EPIC, MS4, Meditech, SMS Invision, Cerner, Star and other Healthcare platforms or technologies
- Advanced level of proficiency with MS Word, Excel and PowerPoint
- Advanced level of proficiency with project management strategies
- Significant experience communicating verbally and in writing with all levels of managing including executives
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN
