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Internal Audit Senior
Internal Audit SeniorCFS • San Antonio, Texas, US
Internal Audit Senior

Internal Audit Senior

CFS • San Antonio, Texas, US
3 days ago
Job type
  • Full-time
Job description

Internal Audit Senior

Hybrid - San Antonio, TX (On-site as needed)

For a complete understanding of this opportunity, and what will be required to be a successful applicant, read on.

Compensation : $73k-$110k plus excellent benefits

Internal Audit Senior - Multi-Site, Multi-Specialty Healthcare

KEY RESPONSIBILITIES -

Audit Leadership & Oversight

  • Lead and execute moderate to complex internal audits, investigations, and consulting engagements across hospital departments, outpatient clinics, and surgical practices.
  • Ensure audits comply with healthcare regulations (e.g., CMS, HIPAA, Joint Commission standards) and internal policies within prescribed deadlines.
  • Validate audit findings with clinical, administrative, and operational leaders to ensure recommendations are practical, sustainable, and aligned with patient care standards.
  • Mentor junior audit staff and contribute to team development and knowledge sharing.

Stakeholder Engagement & Risk Assessment

  • Build and maintain strong relationships with clinical and administrative stakeholders to facilitate audit execution and promote a culture of compliance.
  • Conduct risk assessments and identify auditable activities across diverse specialties including surgery, radiology, cardiology, and primary care.
  • Monitor evolving healthcare risks and regulatory changes to inform audit planning and prioritization.
  • Audit Planning & Execution

  • Conduct interviews and walkthroughs with clinical and operational teams to understand workflows, billing practices, and compliance risks.
  • Design and document audit programs and test plans tailored to healthcare operations, including patient billing, coding accuracy, inventory controls, and clinical documentation.
  • Perform testing using data analytics and sampling techniques to evaluate control effectiveness and regulatory compliance.
  • Validate exceptions with stakeholders and ensure findings are supported by sufficient, relevant evidence.
  • Revenue Cycle Management (RCM) Audits

  • Audit end-to-end revenue cycle processes including patient registration, insurance verification, charge capture, coding, billing, claims submission, payment posting, and denial management.
  • Evaluate internal controls over RCM to ensure accuracy, timeliness, and compliance with payer requirements and reimbursement guidelines.
  • Identify inefficiencies, revenue leakage, and compliance risks within RCM workflows and recommend corrective actions.
  • Collaborate with finance, billing, and clinical teams to ensure audit findings are actionable and aligned with operational goals.
  • Documentation & Reporting

  • Prepare clear, concise audit documentation and reports that support observations and conclusions, adhering to internal standards and healthcare audit protocols.
  • Ensure timely completion of audit deliverables and follow-up on corrective actions to confirm resolution of identified issues.
  • QUALIFICATIONS

    Bachelor's degree in accounting, Business, Finance or related field is required.

    CPA, CIA, CISA, CFE, or relevant audit certification or a candidate to obtain a certification.

    5+ years of Audit experience + Healthcare / Medical Industry experience preferred

    #LI-AB2 #AUDIT #CISA #CPA #CIA #CFA #RISK #CONTROLS #OPERATIONALAUDIT #PERFORMANCEAUDIT #COMPLIANCE

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    Senior Internal Audit • San Antonio, Texas, US

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