Compliance Audit Manager

What Ethics & Compliance contributes to Cardinal Health

Ethics & Compliance promotes a culture that encourages ethical conduct and a commitment to compliance. This function implements strategies and processes to ensure adherence to policies, educates and trains employees across the organization, and conducts investigations to resolve ethics and compliance issues.

Ethics & Compliance develops and implements strategies and standard operating procedures to promote adherence to internal ethics and compliance policies related to areas such as privacy, HIPAA and FCPA, among others. This job family resolves concerns from business unit leaders and employees and proactively provides guidance and trainings on policies.

Reporting to the Director, Ethics & Compliance, this position supervises and manages audits to determine organizational integrity of billing for professional (physician) services and / or hospital (technical) services, including : detection and correction of documentation, coding, and billing errors and / or medical necessity of services billed. Particular areas of focus include : evaluation of the adequacy and accuracy of documentation in support of services billed; compliance with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, and staff; physician and coder education; and the making of recommendations for corrective action to leadership, coders, billers and other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as well as the development and completion of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff.

What is expected of you and others at this level

• Manages department operations and supervises professional employees, front line supervisors and / or business support staff
• Participates in the development of policies and procedures to achieve specific goals
• Ensures employees operate within guidelines
• Decisions have a short term impact on work processes, outcomes and customers
• Ability to work in a team environment and perform multi-job functions.
• Knowledge of medical terminology and electronic medical records.
• Professional and / or hospital services auditing experience.
• Exceptional Customer Service Skills.
• Proven interpersonal communication skills.
• Excellent time management, personal integrity and ability to maintain confidentiality.

Responsibilities

Qualifications

Anticipated salary range : $105,100 - $140,100

Bonus eligible : Yes

Benefits : Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

Application window anticipated to close : 10 / 23 / 2025

The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity / expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.