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Position Summary

 Responsible for performing independent organizational reviews of compliance

with internal policies and regulatory/legal requirements.

Principal Accountabilities

 Standards of Performance: Respect, Integrity, Compassion, Collaboration,

Stewardship, Accountability, Quality

Education

 Associate’s degree in Health Information or Bachelor’s in related field

Licenses and Certification

 If Associate’s degree in Health Information, then coding and/or compliance

certification is required. Prefer compliance certification.

Experience and Skills

 Technical Experience: 3 years

Physical Activities

 Intermittent hand manipulation required

 Intermittent lifting and carrying of 11-20 pounds which can be modified

Role Specific Responsibilities

o Participates in development of the Annual Work Plan.

o Provides support for answering the Compliance Helpline.

o Researches, interprets and applies relevant policies, laws, regulations and

contractual agreements in the performance of audits and investigations.

o Develops project-specific audit plans.

o Performs audits and investigations with focus on detecting and preventing

fraud and abuse.

o Analyzes sensitive, complex operations and business conduct allegations

in a confidential, objective, systematic and timely manner.

o Conducts interviews.

o Collects and prepares evidence and organizes documentation to support

legal proceedings, including depositions and/or working with law

enforcement personnel to prepare cases for civil or criminal actions.

o Identifies opportunities for internal control and process enhancements.

o Reports on audit findings, provides related education, and supports the

development of corrective actions for deficiencies.

o Presents verbal reports and status updates to senior leaders.

o Responsible for the production of periodic departmental reports and

database maintenance.

o Other duties as assigned.

Compensation (Commensurate with experience):

To access our Benefits Guide/Plan Information, please click the link below:

http://www.sih.net/careers/benefits