Compliance Auditor II: Risk & Process Improvement

CHILDREN'S HOSPITAL OF SAN ANTONIO; Irving (TX); On-site; USD 65,000 - 85,000; Full time

Job summary

CHRISTUS Health is seeking a Compliance Auditor II to support quality, compliance, and auditing activities across SOPs, policies, and regulatory standards. You will conduct audits, report findings, and coordinate with the Compliance Director on work plans and external reviews.

The role requires strong communication, data analytics, and familiarity with EPIC and PowerBI. Work hours are 8AM–5PM, Monday–Friday, with full-time status in Irving, TX.

Qualifications

• Associate's degree required.
• Bachelor's degree preferred.
• Strong interpersonal and written and verbal communications skills required.
• Strong data analytics and interpretation skills preferred.
• Knowledge and experience in using EPIC, Word, Excel, PowerPoint, PowerBI and similar Office programs preferred.

Responsibilities

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Manages compliance audit activities pertaining to compliance and coordinates with Corporate Compliance Director and Senior Leadership as it relates to such audits.
• Responsible for answering inquiries related to professional documentation, coding, and billing regulatory requirements.
• Work with VP/Senior/Manager/Director on more complex issues or investigations.
• Assist with data analysis to determine root cause of reported or identified issues and determine level of escalation required.
• Performs and follows established audit work steps and procedures.
• Gather all relevant information for potential compliance issues, determine underlying causes, and relate information from different sources to draw logical conclusions.
• Maintain a current understanding of regulatory trends and changes in compliance and regulatory guidelines that affect CHRISTUS and its subsidiaries by monitoring various resources to assess regulatory changes and determine organizational impact.
• Document all issues received, actions taken, and resolutions.
• Collaborates with Compliance Director, VP, Compliance on external audits and reviews, which are initiated by government agencies or government-contracted organizations
• Coordinates and performs timely medical record and claims reviews across CHRISTUS Health departments (HIM, Case Mgt., PFS, CTC)
• Works jointly with Compliance Directors, VP, Compliance on the compliance work plan, risk assessments, and quarterly Board Committee reports
• Assist with the development of dashboards, written reports, or other deliverables to be presented to the department, VP Compliance, Senior Leadership, and/or the Board Committee. Help develop and maintain compliance-related policies and procedures to ensure they are current and relevant. Assist with providing policy-related guidance to individuals and departments.
• Provides feedback to HIM, Case Management, Patient Financial Services (PFS), Revenue Cycle, physicians and Hospital and Clinic operations regarding charging, documentation, patient status and coding issues so 'process improvement' changes are made
• Perform audits and reviews, identify process improvements, and streamline processes.
• Communicates compliance/audit activities and outcomes to departments
• Assists Compliance Director on OIG and other government audits/reviews and other compliance-related work, as assigned.
• Maintains confidentiality and discretion regarding all work matters and works cooperatively with all team members and demonstrates competence to perform assigned responsibilities.
• Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.
• Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.
• Performs other duties as assigned.

Skills

Interpersonal communication

Written communication

Data analytics

Education

Associate's degree

Bachelor's degree preferred

RHIT RHIA RN CHC CPC or similar credential preferred

Tools

EPIC

PowerBI

Word

Excel

PowerPoint

Job description

CHRISTUS Health is seeking a Compliance Auditor II to support quality, compliance, and auditing activities across SOPs, policies, and regulatory standards. You will conduct audits, report findings, and coordinate with the Compliance Director on work plans and external reviews.

The role requires strong communication, data analytics, and familiarity with EPIC and PowerBI. Work hours are 8AM–5PM, Monday–Friday, with full-time status in Irving, TX.