BELEN Network · 1 day ago
Internal Audit Director
BELEN Network is seeking a highly driven Director of Internal Audits to lead their internal audit operations in a fast-paced healthcare environment. This role involves ensuring compliance with internal controls and regulatory frameworks, managing audit work plans, and collaborating with various departments to enhance audit-readiness.
Management Consulting
Responsibilities
Lead and manage the Internal Audit Work Plan, including risk assessments, audit scoping, frequency planning, and implementation benchmarks
Ensure all audits align with departmental and regulatory standards, especially related to federal and state healthcare compliance
Conduct and oversee audits related to CPT/ICD-9/10 coding, CMS regulations, and medical record documentation practices
Collaborate with Compliance Officers to align audit and compliance objectives
Deliver regular audit reports to Executive Leadership, Finance, and Compliance departments
Lead and mentor audit staff to build a culture of accountability, continuous learning, and ethical compliance
Act as liaison across departments (Medical, Billing, Enrollment, Informatics, Managed Care) to troubleshoot, clarify, and improve audit-readiness
Contribute to the strategic development of ethical practices, training, and audit improvement initiatives
Qualification
Required
Bachelor's degree in Business Administration, Healthcare Administration, or a related field (required)
10+ years of experience, including at least 5–7 years specifically in auditing within a healthcare organization
Proven supervisory and leadership experience managing cross-functional audit teams
Strong working knowledge of CPT codes and ICD-9/10
Strong working knowledge of CMS guidelines
Strong working knowledge of federal and state compliance regulations
Strong working knowledge of medical terminology and healthcare documentation standards
Proficient in Microsoft Office Suite; Excel and report-building are especially important
Demonstrated project management, prioritization, and multitasking skills in high-volume environments
Ability to communicate clearly with both senior leadership and cross-functional staff
Preferred
Experience preparing for external audits from OMIG/OIG or CMS auditors
Background in leading documentation training for providers and billing staff
Previous experience with audit-related software or internal systems for healthcare claims and documentation
Company
BELEN Network
At BELEN Network, we specialize in recruiting top-tier talent for the IT industry, focusing on in-demand fields such as cybersecurity, engineering, cloud computing, AI engineering, biotech, and fin-tech.
Funding
Current Stage
Early StageCompany data provided by crunchbase