• Assist with planning, fieldwork, and documentation of audits and reviews of laboratory revenue cycle operations to assess compliance with regulatory requirements. • Analyze billing data and trends to detect and prevent fraud, waste, abuse, and potential coding issues through the use of data analytics. • Conduct and document audits and reviews of third party vendors, international distributors, and interactions with HCPs/HCIs and other high-risk interactions to assess compliance with regulatory requirements and company policy. • Work with other compliance and legal staff to investigate and resolve reported compliance concerns related to revenue cycle functions. • Maintain awareness of the federal, state, and local regulatory environment related to the reimbursement of laboratory services to monitor relevance to the Exact Sciences’ Compliance Program. • Identify potential weaknesses in revenue cycle functions and activities and proactively suggest improvements to address them. • Lead walkthroughs, document narratives, and test assigned processes and controls for Exact Sciences’ laboratory entities to ensure compliance with all policies, procedures, and processes. • Prepare internal audit reports, participate in close meetings, and present summaries internally. • Make process improvement suggestions to company management based on audit results. • Follow up on outstanding compliance issues from previous audits. • Liaise with external auditors including, but not limited to, documentation, testing, coordination, and follow ups related to findings, as needed. • Utilize interdepartmental collaboration skills to engage across teams. • Ability to analyze processes and determine if adequate controls are in place and appropriate for the related activity. • Ability to take direction and independently work towards achievement of projects. • Ability to articulate complex information into understandable terms and effectively communicate at all levels within an organization. • Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork. • Support and comply with the company’s Quality Management System policies and procedures. • Maintain regular and reliable attendance. • Ability to act with an inclusion mindset and model these behaviors for the organization. • Ability to work designated schedule. • Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day. • Ability to work on a computer and phone simultaneously. • Ability to use a telephone through a headset. • Ability to travel 25% of working time away from work location, may include overnight/weekend travel.

• Performs independent audits of financial, operational, compliance, and information system controls • Applies federal accounting principles and evaluates compliance with FFMIA • Prepares detailed working papers and summary reports with actionable recommendations • Conducts comprehensive financial, operational, IT, and compliance audits • Plans and executes risk-based audit and assessment activities • Performs detailed testing of financial transactions and system configurations • Evaluates risk management practices and identifies control gaps and areas of risk exposure • Assesses IT and business process controls related to information assurance and access management • Prepares and maintains audit working papers and formal summary reports • Collaborates with financial, IT, and management stakeholders for corrective action plans • Supports internal and external audit engagements by responding to requests

• Performs routine coding audits under the Direction of the Compliance& Ethics Sr. Manager • Drafts and prepares audit results and reports to be shared with the FCS providers • Reviews and provides timely responses to coding inquiries • Contributes to the completion of government audits when requested

• Performs all related internal, concurrent, prospective and retrospective coding audit activities. • Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. • Reports findings both verbally and in writing and communicates results to affected areas. • Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. • Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. • Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines. • Plans and conducts audits and reports on the documentation, coding and billing performed at AHN entities. • Reviews, develops and delivers training programs and educational materials to address deficiencies identified in the audits compliant with regulatory requirements. • Provides written audit guidance. • Participates with management in the assessment of external audit findings and responds as needed. • Attends meetings and interacts with management to resolve issues and provide advice on new programs. • Provides guidance to system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. • Determines appeal action, prepare appeal letter follow up and identify education issues. (20%) • Develops audit detail summary spreadsheets and reports to address any coding, documentation, financial impact and profitability. • Conducts education/training or works with external resources to present final audit findings to department staff, physicians and appropriate individuals. (20%) • Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. • Performs periodic claim form reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%) • Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify patterns, trends and variations in the facilities frequently assigned DRG/APC groups. • Once identified, evaluate the cases of the change or problems and takes appropriate steps to effect resolution. (10%) • Reviews and interprets medical information, classifies that information into the appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the DRG and APC. (10%) • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. • Assures compliance with the coding guidelines and regulatory requirements. (10%) • Performs other duties as assigned or required including training/mentoring of new staff, performing audits and research related to special projects and providing coverage for coding manager(s). (10%) • Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to the DRG/APC and other clinical data quality management factors. • With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff education programs. Establishes and monitors performance and maintains appropriate documentation thereof. (10%) • Other duties as assigned.