• Perform detailed contract compliance audits to assess alignment with AIA billing standards • Validate that billed costs comply with contract requirements and industry norms • Apply working knowledge of AIA billing formats to identify anomalies • Support insurance auditing on construction projects • Conduct job cost reconciliations • Communicate audit results clearly and concisely

• Perform internal audits, including the execution of information technology, strategic, operational, and compliance risk-based audits. • Execute risk-based audits evaluating controls and processes for scalability, effectiveness, efficiency, and risk mitigation strategies • Assist in audit planning, refinement of audit work programs, and wrap up of engagements • Assist in drafting audit reports that summarize audit findings and recommendations, including consolidation of metrics and graphing • Develop and communicate audit observations, recommendations, process improvement opportunities, and best practices and obtain management responses • Monitor and report on the status and findings of audits • Assist audit team in performing special projects and implementing internal audit best practices • Performs other duties as assigned • Complies with all policies and standards

Title: Coding Auditor - Corporate Compliance locations Yale Campus - Hospital time type Full time job requisition id JR31246 Job Description Job Summary: The Coding Auditor performs coding audits to assure compliance with Corporate Compliance Plan standards. This role develops, coordinates, and implements clinic wide education for coding and billing issues while serving as a resource to physicians, office staff, management and patients for coding and billing issues. Additionally, this role coordinates successful response to regulatory bodies and insurance companies for medical record reviews and audits. Minimum Education: High School Diploma or GED. Bachelor’s degree in Healthcare Administration or Business Administration, preferred. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA). Work Experience: Minimum 3 years of hospital or physician auditing experience with 1 year of hospital or physician coding experience. Hierarchical Condition Categories (HCC) experience, preferred. Knowledge, Skills and Abilities: Computer skills, including use of Electronic Health Records, auditing, and coding software. Demonstrated ability to audit Current Procedural Terminology (CPT) and Interventional Classification of Diseases, Tenth Revision (ICD-10) coding related to charting and billing utilizing knowledge obtained by coursework with subsequent certification and/or sufficient specialized, related experience to demonstrate advanced knowledge of coding to perform audits. Effective interpersonal, oral and written communication skills. Ability to organize and prioritize work in an efficient and effective manner to achieve goals. Uses good judgment in determining documentation sufficiency and how to best educate physicians and other providers of opportunities for improvement. Demonstrated understanding of complexities of office workflow and billing requirements. Ability to be an engaged team member and to provide value added service to all. Demonstrates flexibility in accomplishing challenging assignments. Essential Functions and Responsibilities: Conducts coding audits of documentation of physicians and non-physician practitioners to assure compliance with documentation guidelines and the appropriate selection of CPT procedure codes and ICD-10 diagnosis codes. Communicates results of audit findings with manager, physicians, and medical director. Develops and delivers coding education specific to the needs of the requesting physicians and office staff. Collaborates to resolve patient complaints due to coding issues and in assurance of payment for services of denied services due to coding issues. Assists in review and analysis of documentation requests for audits performed by external regulatory bodies and insurance companies. Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from a supervisor. Working Relationships: Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Corporate Compliance - Yale Campus Location: Tulsa, Oklahoma 74136

• Produce quality workpapers that adhere to documented standards and requirements of the Institute of Internal Auditors (IIA) with the International Professional Practices Framework • Participate in annual risk assessment and planning activities as assigned • Execute moderately complex audits in compliance with audit standards and internal procedures; maintain independence and objectivity • Lead and execute moderately complex audit projects including setting audit objectives, scope and preparing audit programs, assigning work to team, oversee audit progress and deadlines • Document control narratives/flowcharts and conduct audit testing to evaluate control effectiveness • Review all audit workpapers to ensure completeness, accuracy, and adherence to standards and internal procedures • Develop actionable recommendations to address identified control gaps • Draft summary reports and leads management discussions to report adequacy of internal controls and compliance with regulatory requirements and management practices • Responsible for communicating audit results, recommendations, and conclusions to management • Acts as SME to other team members and organizational business partners • Perform moderately complex follow up activities to determine adequacy of corrective actions taken, includes validation of regulatory issues • Adhere to audit schedule and ensures completion of assignments and audits in the timeframe and hours allowed • Sets timeline expectations for individual contributors assigned to the audits they are in-charge of and hold individuals accountable for meeting those deadlines • Escalates roadblocks to lead • Conduct special projects or audits at the request of management • Comply with all Federal Regulations as they pertain to your job duties, including BSA.