• The Regional Auditor performs audit engagements in order to provide independent objective assurance and consulting activity designed to add value and improve the organization’s operations. • Ensure GAA Regional Team’s High Performance Performs audit assignments as assigned by the Senior Regional Audit Manager EAS in the Annual Audit Plan, support larger and complex engagements, potentially one or more assignments simultaneously. • Actively engage with senior management staff within the National Offices in order to gain a good understanding of their business and ensure the efficient execution of the audit. • Ensure GAA Regional Teams services are rendered in accordance with the IIA's International Auditing Standards, the Code of Ethics, GAA's Charter and WVI's policies and procedures. • Provide support to the Investigations unit of GAA to investigate fraud allegations and unethical conduct as may be delegated by the SRAM. • Continually enhance GAA's ability to conduct both assurance and advisory reviews to add value and improve the organization's operations while considering the organization's key initiatives and strategic direction. • Drive stakeholder relationships and communication and recommend/implement actions to achieve improvements; evaluate the advocacy efforts of the internal audit activity and determine key performance indicators to evaluate the success of the internal audit activity. • Participate in the Annual Planning process: contribute to the preparation of the annual audit plan as will be directed by the Senior Regional Audit Manager EAS. • Ensure the preparation of pre - audit information and coordinate receipt of information from the auditees before the fieldwork. • Conduct detailed risk-based audit work and document findings of all allocated assignments within prescribed Audit Plan time lines. • Provide role of Advisor to Senior Leadership in absence of/ as may be delegated from time to time by SRAM. • Maintain and ensure the highest conformance and ethical standards for GAA. • Ensure WV GAA quality standards are maintained, which includes but is not limited to: Ensure all review notes are responded to by team members and compile quality draft audit findings/draft audit reports for SRAM review by end of fieldwork phase. • Timely audit binder setup and technical execution of audits (planning to completion) in the audit system/software. • Develop and submit timely audit work and draft findings to Senior Regional Audit Manager for review. • Ensure timely resolution of audit review feedback from SRAM. • Review follow up evidence of implementation of audit findings as per auditee “audit implementation plan’’ to ensure audit matters arising are fully resolved. • Continually ensure innovation/ improvement in GAA Regional Teams written and verbal communication skills, soft skills, and projects.

Position Title: Revenue Integrity Clinical Nurse Auditor (Remote Opportunity) Location: Lenexa United States Job Description: Position Title Revenue Integrity Clinical Nurse Auditor (Remote Opportunity) Southlake Campus Position Summary / Career Interest: The Revenue Integrity Clinical Nurse Auditor leverages clinical knowledge and documentation review to ensure appropriate charge capture and revenue optimization. Responsibilities include leveraging Epic technology and analytics to identify Revenue Integrity trends and investigate areas of revenue leakage, monitor financial performance, and work with IT to build mistake-proofing into the Epic system. The nurse auditor will work with clinical teams, compliance and other departments within Revenue Cycle to provide documentation and charging education and maximize system efficiency, timely and complete charge capture, and submission of clean claims to payors to drive financial performance. Responsibilities and Essential Job Functions - Responsible for identifying, building, and maintaining Revenue Guardian edits within the Epic billing system based on documentation and CDM review. - Performs routine chart audit and clinical documentation review to identify missing, incorrect, or undocumented charges across clinic, hospital, and ancillary departments. - Works with clinical, financial, and operational stakeholders to stand up accurate and complete charging and coding for new and emerging therapies and services and high-risk/high-dollar services provided. - Uses clinical expertise to perform ongoing reviews of medical record documentation and clinical pertinence in accordance with peer standards and Medicare Regulations. - Monitors and tracks KPIs such as missing and late charges, charge lag, daily revenue, DFNB days/days to timely bill, and clinically triggered charges. - Supports process improvement activities to assure medical record compliance with regulatory and accreditation bodies. - Monitors denial trends related to upstream set-up issues and acts as a liaison across departments to find solutions. - Assists with the development, implementation, and testing process improvement and associated technical solutions. - Aligns with CDI, Coding, and Revenue Cycle Insurance follow-up teams to reduce denials and influence proactive revenue optimization. - Provides ongoing education and feedback to improve documentation in support of accurate charge capture, coding, and final claim submission. - Leverages artificial intelligence (AI), system automation and analytics to identify and prioritize revenue leakage across the health system. - Works effectively with ambulatory & IT, physicians, clinics, and all hospital clinical areas to resolve charge capture and process gaps. - Works effectively with Revenue Integrity Charge Analysts, CDM, and Pricing Committees. - Demonstrates knowledge of Coding Guidelines and Conventions (CPT/HCPCS, ICD-10-CM/PCS). - Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. - These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required. Required Education and Experience - Bachelors Degree in Nursing from an accredited college or university. - 2 or more years of experience in utilization review, clinical review, or authorizations Preferred Education and Experience - 4 or more years EPIC experience - 4 or more years Coding experience and/or CPC or CPC-A coding certification Required Licensure and Certification - Licensed Registered Nurse (LRN) - Multi-State - State Board of Nursing Current State RN license Time Type: Full time Job Requisition ID: R-51167 Important information for you to know as you apply: - The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion. - The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu. - Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP. Need help finding the right job? We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.

• Conduct Good Pharmacovigilance Practice (GVP) audits (planning, agenda, physical or remote audit, and report writing) • Evaluate investigator sites, CROs, and vendor compliance or qualification. • Prepare comprehensive audit reports detailing findings and root-causes. • Provide written audit reports in English. • If required will provide corrective actions support and present findings to QA leadership and stakeholders • Work collaboratively with clients to ensure quality standards.

• Analyze, review, and/or conduct insurance premium audits in the field • Performs audits in the field for organizational accounts and resolves applicable disputes • Conducts timely and accurate premium and service audits, examining financial records pertaining to stated premium base • Manages audits on larger and more complex accounts and assists in resolving complex disputes • Delivers excellent customer service for the entire audit experience including responding to disputes • Provides technical assistance and resolves technical issues with internal and external customers