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Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!
Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including :
Location : Foundation, Risk Mgt and Internal Audit, Dover Delaware
Status : Full Time 80 Hours biweekly
Shift : Days
SALARY RANGE : 80,974.40 - 125,507.20YEARLY
General Summary :
The Enterprise Internal Auditor performs and documents organizational audits following professional standards to assist the organization in complying with internal controls and applicable regulatory policies. The Enterprise Internal Auditor is responsible for evaluating and improving the effectiveness of an organization's risk processes. The core duties include conducting financial, operational, and compliance audits to identify risks and control weaknesses, preparing detailed audit reports and findings and recommendations, and ensuring the organization adheres to applicable laws, regulations, and policies.
Responsibilities :
1. Designs, conducts, and manages financial, business operational, and clinical annual audit plans for audit coverage, driving significant improvement plans.
2. Perform complex audits involving independent examinations and analyses of corporate accounting, billing, medical records, and other related documents, transactions, and procedures that ensure the adequacy of internal controls and compliance with policies, procedures, laws, and regulations. Perform and manage audit fieldwork in accordance with the approved Internal Audit Program. Involve other members of the audit team, as appropriate, and assign and manage their tasks.
3. Develop and deliver high-quality, informative presentations to Senior Executive Leadership at the quarterly Corporate Compliance Committee Meetings, as necessary. Anticipate potential questions while developing the presentation and be prepared to answer questions from Senior Executive Leadership in a well-thought-out, concise, and accurate manner.
4. Perform enterprise-related special investigative audits as assigned. Review compliance with the hospital's guidelines for ethical business conduct to ensure that the highest standards of performance are met. Disseminate guidance and provide compliance educational sessions to physicians and staff as necessary to help ensure compliance with all applicable laws and regulations. Assists in the audit efforts of the hospital's public accountants and participates in reviews and audits related to government investigations as necessary.
5. Audit Reports - Use discretion and judgment consistent with professional standards in writing comprehensive, formal audit reports. Formal audit reports must clearly identify areas of risk, recommendations for adequate resolution, and cost containment / revenue enhancements, when applicable. Evaluates any plans of action to correct reported conditions for satisfactory disposition of audit findings. Follow up on audit report responses to ensure corrective actions have been taken and are effective toward compliance with respective policies, procedures, laws, and regulations. Ensure that all assigned tasks are thoroughly completed and documented in a timely manner. Commits to continuous improvement and engagement by displaying Leadership Behaviors on an ongoing basis.
6. Lead audit enterprise risk assessments and assist with the development of the annual Enterprise Audit Work Plan with a particular focus on third-party payer billing requirements.
7. Plan and conduct audits per the approved Enterprise Audit Work Plan.
8. Research the internet, print media, newsletters, list serves and other related forums for third party payer rules, requirements and regulatory guidelines (Medicare, Medicaid, Commercial Insurers) as well as professional and peer organizations' practices / policies / guidelines to support, via audit and review, Bayhealth's efforts to stay current and compliant with accepted documentation and billing practices.
9. Enhance the audit process through the development and use of computer software, such as data mining tools, that can perform complex sorts and queries of large databases for audit testing.
10. Strives to continually improve the internal audit and compliance programs.
11. All other duties assigned within the scope and range of job responsibilities.
Required Education, Credential(s) and Experience :
; Finance; Or a Bachelor's Degree in Business, Healthcare, or a related field.
Preferred : Healthcare auditing.
Preferred Education, Credential(s) and Experience :
Finance
Or a Master's Degree in Business, Healthcare, or a related field.
Or Internal Audit Practitioner (IAP).
To view a full list of all open position at Bayhealth, please visit :
Internal Auditor • Dover, DE, United States