Overview
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all @types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
Comprehensive health benefits that start day 1
Student Loan Repayment Assistance & Reimbursement Programs
Family-focused benefits
Wellness incentives
Ongoing mentorship, development, and leadership programs
And more
Work Location: Atlanta, GA
Description
The Corporate Director Compliance Auditor - Healthcare Provider provides expert leadership in evaluating and strengthening the organization's compliance program across clinical, billing, privacy, and operational domains.
This role leads complex, risk-based compliance audits to ensure adherence to federal and state healthcare regulations and guidance from Healthcare Compliance Association, HHS-OIG, CMS, and other regulatory agencies.
The position serves as a strategic advisor to executive leadership, clinical leaders, and the Compliance Committee.
Strategic & Leadership
Lead the development and execution of the annual healthcare compliance audit and monitoring plan based on enterprise risk assessments
Advise the Chief Compliance Officer, Compliance Committee, and executive leadership on regulatory risk exposure, audit findings, and remediation priorities
Provide mentorship and technical oversight to compliance auditors, analysts, or coders, as applicable
Prepare and present executive and Board-level audit reports and trend analyses
Healthcare Compliance Auditing
Lead and perform audits to assess the design and effectiveness of internal controls, policies, and compliance safeguards in high-risk areas identified in the risk assessment
Identify root causes, systemic risks, and potential overpayment exposure
Ensure audit workpapers meet legal defensibility and regulatory standards
Regulatory & Enforcement Support
Support internal investigations related to potential fraud, waste, abuse, or regulatory noncompliance
Assist with government audits, payer audits, RAC audits, and regulatory examinations.
Support overpayment identification, quantification, and repayment in coordination with Legal and Finance Corrective Action & Continuous Improvement
Oversee development and implementation of corrective action plans (CAPs)
Validate remediation through follow-up audits and ongoing monitoring
Enhance continuous monitoring tools, dashboards, and audit methodologies
Partner with operational leaders to improve documentation, controls, and compliance culture
Additional Duties as Assigned
Travel: Travel to Emory Affiliated locations as required
Work Type: Hybrid employee - splits time between working remotely and working in the office
REQUIRED MINIMUM QUALIFICATIONS:
Education: Bachelor's degree in Healthcare Administration, Nursing, Health Information Management, Accounting, Finance, or related field
Experience: 7years of progressive experience in healthcare compliance auditing, internal audit, or regulatory compliance
Knowledge, Skills & Abilities (required):
Medicare and Medicaid billing rules
Clinical documentation and coding standards
HIPAA Privacy and Security Rules
Physician compensation and contracting requirements
Proven experience conducting risk-based compliance audits in a provider environment
Excellent ability to communicate complex compliance issues to clinical leaders and executives
Competencies:
Deep healthcare regulatory expertise
Clinical and operational acumen
Executive presence and judgment
Independence and objectivity
Advanced analytical and investigative skills
Ability to influence clinicians and administrators
Preferred Qualifications
Education: Master's degree (MHA, MBA, MSN, JD, or related)
Experience: in hospital systems, academic medical centers, or multi-site provider organizations. Familiarity with EHR systems, revenue cycle workflows, and clinical operations
Experience supporting OIG audits, DOJ inquiries, CMS surveys, or payer investigations
Certification: Professional certifications strongly preferred:
CHC, CHPC, CHC-F
CIA, CPA, CFE
RHIA, RHIT, CCS, CPC
Reporting Relationship: Reports to the Chief Compliance Officer or VP, Compliance & Integrity
JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.
Additional Details
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Leave and Accommodations.
PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.
Connect With Us!
Connect with us for general consideration!
Division Emory Healthcare Inc.
Campus Location Atlanta, GA, 30345
Campus Location US-GA-Atlanta
Department EHI Office of Compliance
Job Type Regular Full-Time
Job Number 159432
Job Category Business Operations
Schedule 8a-4:30p
Standard Hours 40 Hours
Hourly Minimum USD $0.00/Hr.
Hourly Midpoint USD $0.00/Hr.
Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.
