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Responsible for audit and review of financial, operating and regulatory compliance procedures and controls for areas of hospital and provider services across WVUHS and its affiliated groups and entities. The internal audit functions will be an independent appraisal designed to assist management and the WVUH and WVUHS Board of Directors in their effort to meet the Hospital’s goals of cost effectiveness, regulatory compliance, quality and excellence.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor’s degree in Accounting, Finance or Business-related discipline with emphasis in Accounting.
EXPERIENCE:
1. Three (3) years of experience in healthcare finance including: Two (2) years internal auditing or public accounting experience.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Certified Public Accountant (CPA) or Certified Internal Auditor (CIA).
2. The Institute of Internal Auditors (IIA) - Certified Internal Auditor certificate.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Independently conducts reviews of organizational and functional activities for all WVUHS entities and affiliates and evaluates the adequacy and effectiveness of the procedures and control over those activities. Plans and executes audits in accordance with accepted standards, reports audit findings and make recommendations for correcting unsatisfactory conditions and improving operations.
2. Participates in the annual and on-going assessment of financial, operational, regulatory, and administrative risk and contributes to the development of the annual internal audit work plan.
3. Participates in mid-year and year-end inventories to validate the accuracy of the processes.
4. Independently conducts audits of operational areas across WVUHS and its affiliates which manage cash, tests that applicable cash fund policies are being adhered to, reconciles through the business applications and other internal process that appropriate cash funds are accounted for, and prepares summary reports. (ie: cafeteria, gift shop, clinics, pharmacies).
5. Responsible for supporting revenue integrity controls through analysis and auditing of a variety of processes and principles, as well as payment/reimbursement policies applied by federal and/or state regulations and contracted commercial payors, vendors, contractors, etc. Based on the findings and results, communicate the summary and work with each stakeholder to develop and implement corrective action including initiation of any necessary refunds and/or self-disclosures that may be required, provide input on revision of work flows in the appropriate applications.
6. Authors and submits to the Enterprise Director of Hospital Compliance formal executive reports of all completed audits and reviews to be distributed accordingly to each applicable entity’s key contacts, key system level contacts, and any applicable board or compliance/audit committees. These summaries include: subject background, findings, recommendations, and any corrective actions.
7. Acts as an independent, objective source
8. Pursues education and training opportunities to assure compliance with current laws, rules and regulations by participating in professional education activities, obtaining and maintain relevant certifications, and networking with industry peers.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Extended periods of sitting. .
2. Extended periods of computer and telephone usage
3. Must be able to move throughout the department work areas.
4. Must have clarity of speaking and hearing.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Standard office environment
SKILLS AND ABILITIES:
1. Must possess analytical and problem solving skills.
2. Must have effective verbal and written communication skills, as well as interpersonal skills necessary to communicate effectively with all levels of management.
3. Must be capable of working on assignments of varying difficulty and complexity, while exercising independent judgment.
4. Must be able to identify deficiencies in the control environment based on evidential data and the ability to identify any deficiencies resulting in financial loss or regulatory noncompliance.
5. Must be proficient with personal computers and financial/business application in addition to the electronic medical record system.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Exempt)
Company:
SYSTEM West Virginia University Health System
Cost Center:
508 SYSTEM Compliance
Address:
3040 University AveMorgantownWest Virginia
Equal Opportunity Employer
West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
Legal & Compliance (1)