OklahomaCityRecruiter Since 2001
the smart solution for Oklahoma City jobs

Compliance Auditor

Company: GlobalHealth, Inc.
Location: Oklahoma City
Posted on: February 24, 2021

Job Description:

WHO WE ARE:As an industry leader, GlobalHealth is an Oklahoma-Based health insurer covering individuals in all 77 counties. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company - we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning. HOW WILL THIS ROLE ADD VALUE TO THE ORGANIZATION?The successful candidate will be responsible for completing compliance audits in accordance with the GlobalHealth Compliance Plan. This includes, but is not limited to: (1) defining the audit purpose, scope, and methodology used; (2) conducting entrance conferences to explain the audit; (3) obtaining the necessary information/data necessary to conduct the audit; (3) drafting written reports that explain the rule, regulation or policy being audited and the audit findings; (4) making recommendations for corrective/remedial action; (5) timely communicating significant obstacles or immediate concerns to manager; and (6) presenting findings and recommendations to stakeholders through exit conferences. ESSENTIAL JOB FUNCTIONS:

  • Conduct compliance audits in accordance with the compliance audit work plan and department policies and procedures. Participate in the development of the annual audit workplan and quarterly goals.
  • Manage time efficiently to ensure audits and written reports are completed timely.
  • Prepare professional written reports of audit findings and recommendations for corrective action.
  • Create and maintain audit workpapers and records in accordance with department record retention policies and regulatory requirements.
  • Present audit findings and recommendations to management and/or subcommittees/workgroups.
  • Other projects and responsibilities as assigned. EDUCATION AND EXPERIENCE:
    • Bachelor's Degree required.
    • Minimum three (3) years' auditing experience at a health system, managed care organization, or healthcare audit consulting firm. Experience in auditing medical billing, coding, or claims processing strongly preferred.
    • Working knowledge of the Medicare Advantage Program.
    • Relevant certification preferred (e.g., CPC, RHIA, CIA, CHIAP, CHC) KNOWLEDGE, SKILLS AND ABILITIES:
      • Inquisitive mind with ability to spot issues or discrepancies.
      • Strong analytical ability with attention to detail.
      • Excellent verbal and written communication skills. Must be able to write professional audit reports.
      • Excellent computer skills (MS-Word, Excel, Outlook, etc.) with ability to utilize analytical and statistical software tools. Knowledge of claims/billing systems (e.g., EPIC, etc.) a plus.
      • Ability to manage multiple priorities simultaneously and meet deadlines.
      • Ability to maintain a high-level of confidentiality. WORK ENVIRONMENT:
        • Indoor office setting
        • Prolonged sitting at a desk and using a computer. Frequent, repetitive keyboard use TRAVEL: Some travel may be required - may require overnight stay. Must have a valid driver's license and be able to drive a car. SUPERVISORY RESPONSIBILITY: This position does not have direct reports OTHER DUTIES: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Keywords: GlobalHealth, Inc., Oklahoma City , Compliance Auditor, Accounting, Auditing , Oklahoma City, Oklahoma

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Accounting, Auditing Jobs


35M Warrant Officer: Human Intelligence Collection Technician
Description: Intelligence is crucial to the security of our Nation. By gathering information about an adversary's intentions, strengths, vulnerabilities, and capabilities, the military can plan, prepare, and defend (more...)
Company: Army National Guard
Location: Norman
Posted on: 03/5/2021

Internal Audit Manager
Description: At Ditch Witch in Perry Oklahoma we pride ourselves on being the leading manufacturer in the underground pipe and cable market. Our plant in Perry stands out because it's a place for people to learn and (more...)
Company: The Toro Company
Location: Perry
Posted on: 03/6/2021

Postal Mail Delivery
Description: POSTAL MAIL DELIVERY NO EXPERIENCE REQUIRED - PAID TRAINING PROVIDED - JOB SECURITY br br The Postal Service is the largest government related agency in terms of employees. The Postal Service currently (more...)
Company: USA Labor Services
Location: Lawton
Posted on: 03/6/2021


Postal Clerk
Description: POSTAL CLERK br br NO EXPERIENCE REQUIRED - PAID TRAINING PROVIDED - JOB SECURITY br br br The Postal Service is the largest government related agency in terms of employees.-- The Postal Service (more...)
Company: USA Labor Services
Location: Oklahoma City
Posted on: 03/6/2021

VP Finance/Controller
Description: -- VP Finance/Controller in OKLAHOMA CITY, Oklahoma - Careers at Accounting Skip Branding Skip to Main Content LOGIN ul li Accounts li Loans li Join TFCU li Locations li Find Help li Routing (more...)
Company: Tinker Federal Credit Union
Location: Oklahoma City
Posted on: 03/6/2021

Tax Preparer
Description: Parker Lynch is recruiting for an experienced Tax Preparer for our CPA firm client in the central Oklahoma
Company: Parker and Lynch
Location: Oklahoma City
Posted on: 03/5/2021

Jr. Staff Accountant
Description: Ref ID: 00430-0011718723 Classification: Staff Accountant Compensation: 28.50 to 33.00 hourly If you're looking to build your career in accounting, there's currently a Staff Accountant position through (more...)
Company: Robert Half
Location: Foster
Posted on: 03/6/2021

Junior Accountant
Description: Orange Elephant Roofing, is a proven leader in the roofing industry, seeking the best of the best to strengthen our team. We currently have immediate openings for Full Time qualified Junior Staff Accountants (more...)
Company: Orange Elephant Roofing & Construction
Location: Oklahoma City
Posted on: 03/5/2021

Adjustments/Collections Supervisor
Description: Tinker Federal Credit Union TFCU --is seeking an experienced Adjustments-- Collections Supervisor to join our team in OKC. This position will complement our fresh team atmosphere of compelling employees (more...)
Company: Tinker Federal Credit Union
Location: Oklahoma City
Posted on: 03/5/2021

Sr Financial Analyst/Finance Business Partner
Description: Sr Financial Analyst/Finance Business Partner Every day, Global Payments makes it possible for millions of people to move money between buyers and sellers using our payments solutions for credit, debit, (more...)
Company: Tsys
Location: Oklahoma City
Posted on: 03/5/2021

Log In or Create An Account

Get the latest Oklahoma jobs by following @recnetOK on Twitter!

Oklahoma City RSS job feeds