Compliance Audit Analyst

Shared Services- Risk ManagementRemote, United States


Description

Position at Clarvida - Corporate

About your Role:
As a Compliance Audit Analyst, you will be responsible for conducting quality assurance and audit activities to identify, investigate, and mitigate compliance risks. Your work will be primarily guided by the annual Compliance Audit Work Plan, focusing on key departments such as Revenue Cycle Management (RCM), HR, and Payroll. Through analysis and investigation, you will contribute to reducing compliance risks and enhancing process improvements across Clarvida.
 
ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Helps create audit plans and contributes ideas for the yearly compliance audit plan.
  • Develops audit tools like checklists and finds relevant state rules, guidelines, and sample sizes for the audits.
  • Analyzes key risk areas as instructed, focusing on the highest risk areas.
  • Highlights and reports risk areas and non-compliance issues, suggests process improvements, and identifies causes of problems.
  • Supports the rollout of monitoring processes and training opportunities.
  • Checks for fraud, waste, and abuse during audits and testing.
  • Helps confirm audit results and adds input to recommendations and follow-up actions after audits.
Does the following apply to you?
Required:
  • High School Diploma or equivalent
  • 2+ years of experience in healthcare billing operations or compliance-related risk management
Preferred:
  • Bachelor’s Degree in Business or a related field 

Salary: Up to 21.50 an hour

What we offer:
Full-Time Employees:
  • Paid vacation days that increase with tenure
  • Separate sick leave that rolls over each year
  • Up to 10 Paid holidays*
  • Medical, Dental, Vision benefit plan options
  • DailyPay - Access to your daily earnings without waiting for payday*
  • Training, Development, and Continuing Education Credits for licensure requirements
All Employees:
  • 401K
  • Free licensure supervision
  • Pet Insurance
  • Employee Assistance Program
  • Perks @Clarvida - national discounts on shopping, travel, Verizon, and entertainment
  • Mileage reimbursement*
  • Cellphone stipend*
*Benefit options vary by State/County.
 
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Clarvida is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other protected characteristic.
We encourage job seekers to be vigilant against fraudulent recruitment activities on the rise across the healthcare industry. Communication about legitimate Clarvida job opportunities will only come from an authorized Clarvida.com email address or a personal LinkedIn account associated with a Clarvida.com email address. Clarvida recruiters will never charge application fees, conduct interviews via chat rooms, or extend job offers without a thorough recruitment process.