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PRIMARY RESPONSIBILITIES:
• Conduct routine and targeted internal audits of clinical, billing, financial, administrative, and operational processes.
• Monitor compliance with federal, state, and Tribal healthcare laws and regulations (., HIPAA, CMS, IHS, HRSA, OSHA, Title 25).
• Identify potential areas of vulnerability and risk; develop corrective action plans in coordination with department managers.
Work closely with the Health Center Manager to implement and refine internal audit plans and schedules.
• Maintain detailed records of all audits, findings, follow-up activities, and compliance reports.
• Prepare and present clear, concise audit findings and compliance summaries to leadership
• Support compliance with education and training efforts across departments.
• Assist with the investigation of complaints or reports of potential compliance violations.
• Stay current with changes in laws, regulations, and best practices
QUALIFICATIONS:
• Bachelor’s degree in Healthcare Administration, Accounting, Business, Compliance, or related field required.
• Certified in Healthcare Compliance (CHC) or similar credential strongly preferred.
• Minimum 3–5 years of experience in healthcare auditing, compliance, or regulatory affairs.
• Ability to maintain confidentiality and professionalism in handling sensitive information.
• Strong communication and interpersonal skills for working with multidisciplinary teams.
• Strong understanding of healthcare laws and regulations, including HIPAA, CMS guidelines, and HRSA standards.
Compliance Auditor at PrideStaff
PrideStaff
Sonora, California
Finance
Posted 0 days ago
Job Description
PrideStaff is currently looking for an experienced Compliance Auditor
PRIMARY RESPONSIBILITIES:
• Conduct routine and targeted internal audits of clinical, billing, financial, administrative, and operational processes.
• Monitor compliance with federal, state, and Tribal healthcare laws and regulations (., HIPAA, CMS, IHS, HRSA, OSHA, Title 25).
• Identify potential areas of vulnerability and risk; develop corrective action plans in coordination with department managers.
Work closely with the Health Center Manager to implement and refine internal audit plans and schedules.
• Maintain detailed records of all audits, findings, follow-up activities, and compliance reports.
• Prepare and present clear, concise audit findings and compliance summaries to leadership
• Support compliance with education and training efforts across departments.
• Assist with the investigation of complaints or reports of potential compliance violations.
• Stay current with changes in laws, regulations, and best practices
QUALIFICATIONS:
• Bachelor’s degree in Healthcare Administration, Accounting, Business, Compliance, or related field required.
• Certified in Healthcare Compliance (CHC) or similar credential strongly preferred.
• Minimum 3–5 years of experience in healthcare auditing, compliance, or regulatory affairs.
• Ability to maintain confidentiality and professionalism in handling sensitive information.
• Strong communication and interpersonal skills for working with multidisciplinary teams.
• Strong understanding of healthcare laws and regulations, including HIPAA, CMS guidelines, and HRSA standards.
Compensation / Pay Rate (Up to): $65,000.00 - $80,500.00
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