COMPLIANCE AUDIT AND INVESTIGATION SPECIALIST

Regency Integrated Health Services; Austin (TX); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a Compliance Auditor and Investigator to ensure compliance with OIG regulations and industry best practices. The role includes auditing long-term care facilities, reporting findings to management, and developing training programs for staff. This full-time position is mostly remote, requiring occasional travel within Texas.

Qualifications

• 5+ years of experience in compliance auditing and investigations, preferably in healthcare.
• Strong knowledge of OIG compliance program requirements.
• Excellent analytical, organizational, and communication skills.

Responsibilities

• Conduct comprehensive audits of long-term care facilities.
• Investigate compliance issues and prepare detailed reports.
• Develop and deliver training programs on compliance requirements.

Skills

Analytical skills

Organizational skills

Communication skills

Proficiency in Microsoft Office Suite

Knowledge of OIG compliance program

Education

Bachelor's degree in healthcare administration, business, or related field

Advanced degree or certification in compliance or auditing

Tools

Compliance management software

Job description

Job Details Job Location: RIHS Austin Regional Office - Austin, TX Position Type: Full Time Salary Range: Undisclosed Description

We are seeking a detail-oriented and experienced Compliance Auditor and Investigator to join our team. This role is generally remote, with occasional travel required in Texas for meetings as needed or directed. The primary responsibility of this position is to audit our long-term care facilities for compliance with the Office of Inspector General's (OIG) compliance program specific to skilled nursing facilities, as well as general best practices in the skilled nursing industry and company policies.

Essential Functions

• Compliance Audits: Conduct comprehensive audits of long-term care facilities to ensure compliance with OIG compliance program requirements, industry best practices, and company policies.

• Investigations: Investigate potential compliance issues, including conducting interviews, reviewing documents, and preparing detailed reports of findings.

• Policy Review: Evaluate and recommend improvements to company policies and procedures to enhance compliance and operational efficiency.

• Training and Education: Develop and deliver training programs to staff on compliance requirements and best practices.

• Reporting: Prepare and present audit and investigation reports to senior management, including recommendations for corrective actions.

• Regulatory Updates: Stay current with changes in healthcare regulations and ensure the company’s compliance programs are updated accordingly.

• Collaboration: Work closely with various departments, including Legal, Clinical, IT, Finance, Operations, and Human Resources, to address compliance issues and implement corrective actions.

Support: Will assist other compliance functions as needed in support of particular initiatives or projects

Strong preference for candidates located in Texas

Qualifications

Educational/Training Requirements

• Bachelor's degree in healthcare administration, business, or a related field; advanced degree or certification in compliance or auditing preferred.

• Strong knowledge of OIG compliance program requirements for skilled nursing facilities.

• Excellent analytical, organizational, and communication skills.

• Ability to work independently and manage multiple tasks simultaneously.

• Proficiency in Microsoft Office Suite and compliance management software.

Licensing Requirements

Certification in compliance or auditing preferred

Experience Requirements

Minimum of 5 years of experience in compliance auditing and investigations, preferably in the healthcare or long-term care industry.