Senior Healthcare Compliance Audit Lead

University of Texas Southwestern Medical Center; Dallas (TX); On-site; USD 90,000 - 130,000; Full time

Job summary

UT Southwestern Medical Center in Dallas seeks an experienced compliance auditor to assess health care reimbursement risks. You will oversee audits of professional and facility billing, ensure adherence to payer requirements, and supervise a team within the Office of Compliance.

Responsibilities include analyzing data, identifying errors, and recommending corrective actions. Strong communication and Excel skills are essential; experience with MD Audit is a plus.

Qualifications

• Bachelor's degree in business or healthcare administration, regulatory compliance, consulting, project management, or related area.
• 5 years progressively responsible related experience.
• Master's degree in business or management is preferred.
• Knowledge of clinical trial billing and/or experience in reimbursement coding, auditing, and reporting is a plus.

Responsibilities

• Audits reimbursement issues for UT Southwestern providers and entities, including claims in hospitals, clinics, and affiliates.
• Responds to third party payer audit requests and identifies significant reimbursement errors and opportunities.
• Supervises staff, sets performance expectations, and ensures timely audits, investigations, and advisory requests.
• Recommends corrective action and educates on payer requirements including documentation and billing standards.
• Coordinates with Office of Compliance to ensure monitoring activities are evidence-based and well-documented.

Skills

Data analysis

Statistics

Interview skills

Communication

MS Excel

Education

Bachelor's degree in business or healthcare administration

Master's degree in business or management

Tools

MD Audit

RAT-STATS

Job description

UT Southwestern Medical Center in Dallas seeks an experienced compliance auditor to assess health care reimbursement risks. You will oversee audits of professional and facility billing, ensure adherence to payer requirements, and supervise a team within the Office of Compliance.

Responsibilities include analyzing data, identifying errors, and recommending corrective actions. Strong communication and Excel skills are essential; experience with MD Audit is a plus.