Director Compliance Audit
OSF HealthCare, Peoria, IL, United States
Total Rewards
OSF HealthCare offers a comprehensive, market-competitive total rewards package that includes benefits, compensation, recognition, and well‑being offerings to support employees at all stages of life and career.
Expected pay for this position is $58.00–$76.86 per hour. Actual pay will be determined by experience, skills, and internal equity. This is a salaried position.
Overview The Director of Compliance Audit is accountable for leading the essential functions of the OSF Compliance and Audit Program in the specified areas of responsibility. In this role, the Director focuses on compliance‑related risks primarily dealing with billing and coding and clinical documentation to determine compliance with applicable OIG, CMS, and MAC requirements. The Director oversees the Compliance Audit Program across the organization (hospitals, provider practices, and home care), including internal reimbursement/billing compliance audits, internal clinical documentation audits, and MAC, RAC, SMRC, CERT and other government contractor audits.
Qualifications Required Qualifications:
Education:
Master’s degree
Experience:
5 years of health care compliance; 3 years of leadership experience.
Licensure/ Certification:
Professional certification in compliance or a related field; must obtain within 24 months of hire.
Other Skills/ Knowledge:
Excellent interpersonal and communication skills; solid computer skills including proficiency with Microsoft software; strong analytical and problem‑solving skills; high ethical standards with ability to build teams and relationships with results orientation and commitment to staff development; working knowledge of the elements of an effective compliance program; working knowledge of OIG, DOJ, and OCR materials; working knowledge of FCA, Stark Law, AKS, CMP Law, and HIPAA Privacy Rule.
Ability To:
Apply statutory, regulatory and policy provisions to everyday clinical and business activities; explain often complicated requirements in a clear and helpful way; discern underlying concerns, problems and root causes.
OSF HealthCare is an Equal Opportunity Employer.
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Expected pay for this position is $58.00–$76.86 per hour. Actual pay will be determined by experience, skills, and internal equity. This is a salaried position.
Overview The Director of Compliance Audit is accountable for leading the essential functions of the OSF Compliance and Audit Program in the specified areas of responsibility. In this role, the Director focuses on compliance‑related risks primarily dealing with billing and coding and clinical documentation to determine compliance with applicable OIG, CMS, and MAC requirements. The Director oversees the Compliance Audit Program across the organization (hospitals, provider practices, and home care), including internal reimbursement/billing compliance audits, internal clinical documentation audits, and MAC, RAC, SMRC, CERT and other government contractor audits.
Qualifications Required Qualifications:
Education:
Master’s degree
Experience:
5 years of health care compliance; 3 years of leadership experience.
Licensure/ Certification:
Professional certification in compliance or a related field; must obtain within 24 months of hire.
Other Skills/ Knowledge:
Excellent interpersonal and communication skills; solid computer skills including proficiency with Microsoft software; strong analytical and problem‑solving skills; high ethical standards with ability to build teams and relationships with results orientation and commitment to staff development; working knowledge of the elements of an effective compliance program; working knowledge of OIG, DOJ, and OCR materials; working knowledge of FCA, Stark Law, AKS, CMP Law, and HIPAA Privacy Rule.
Ability To:
Apply statutory, regulatory and policy provisions to everyday clinical and business activities; explain often complicated requirements in a clear and helpful way; discern underlying concerns, problems and root causes.
OSF HealthCare is an Equal Opportunity Employer.
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