PRMO: , established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke PrimaryCare. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke's reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.
Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Revenue Cycle Auditor (Financial Analyst III) who will embrace our mission of Advancing Health Together.
The Quality Control department provides key support to the revenue cycle departments with a focus on documenting operational processes and internal controls. Key operational process and control activities identified around compliance, reporting, and operational areas are subject to a review to ensure operational efforts are occurring within a well-controlled environment.
Duties and Responsibilities of this Level
Perform operational and internal control audits of revenue cycle processes to ensure processes are designed appropriately and operating effectively and efficiently. Audits will be focused on high risk processes that span multiple PRMO departments. Maintain a knowledge base includes compliance / regulatory guidelines, system logic and security risks, interfaces between systems, hand-offs between departments, and understanding the flow of data from throughout the entire revenue cycle continuum. Perform supervisory responsibilities over team members assisting with assigned audits.
Collaborate with leadership to ensure an appropriate risk based approach to operational and internal control audits.
Develop audit objectives and scope, audit programs and testing procedures relevant to risks identified.
Document entire process being reviewed to understand how transactions flow through the entire revenue cycle.
Perform data analysis to support audit approach and to subsequently assess audit impact; review data for unusual transactions or trends.
Perform audits ensuring compliance with applicable regulations and established PRMO policies and procedures.
Develop and execute detail testing procedures to verify process effectiveness, accuracy, and completeness.
Understand system logic (i.e. edits, WQ rules, etc.),interfaces, security points, system access etc. as they pertain to audit scope and objectives.
Perform root-cause analysis of significant trends and process anomalies identified.
Identify and clearly document audit issue s and implications, offering recommended solutions relevant to business and risk.
Prepare management reports as required. Effectively present finding s in both face-to-face and small group settings with peers and management.
Develop and maintain effective working relationships with team members, business process owners, management and other customers.
Participate in PRMO wide initiatives to provide insight from an internal control perspective.
Participate in internal control testing, process redesign efforts, and other projects as requested.
Performs duties independently and proactively with a high level of accuracy and timeliness.
Excellent oral and written communication and interpersonal skills and demonstrated ability to effectively and collaboratively work with team members and various levels of staff and management.
Demonstrated ability to successfully manage multiple priorities concurrently.
Demonstrated problem solving and analytical abilities.
Ability to multi-task and adapt to changing priorities without sacrificing attention to detail and quality.
Degrees, Licensure, and/or Certifications
CPA or CIA or other relevant professional certification is strongly preferred.
Work requires a Bachelor's degree in Accounting, Finance, Economics, Business Administration or a related field. CPA is desirable.
Work requires a minimum of 6 years' experience in auditing, compliance, accounting, financial management, cost accounting or a field directly related to specialized area of assignment.
A Master's degree in Accounting, Finance, Economics, Business Administration or a related field may be substituted for 2 years' experience.
Degrees, Licensures, Certifications
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