[Hiring] Healthcare Systems Revenue Cycle Compliance Auditor @UnitedHealth Group

Role Description

We are seeking a detail-oriented and analytical professional to join our team as a Healthcare System Revenue Cycle Compliance Auditor. This role is responsible for planning and conducting audits of financial, operational, and compliance processes across the revenue cycle. The ideal candidate will have a strong understanding of healthcare regulations, exceptional data analysis skills, and the ability to identify and mitigate compliance risks. They will collaborate closely with business leaders and compliance teams to ensure operational integrity, regulatory adherence, and continuous process improvement. A successful candidate will be proactive, highly organized, and committed to delivering high-quality, value-added audit services.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Audit Planning & Execution:
  • Plan, organize, and conduct financial, operational, and compliance audits of the revenue cycle.
  • Evaluate front-end and back-end revenue cycle processes to identify compliance risks and strengthen controls.
  • Perform risk assessments to identify and prioritize audit focus areas.
• Reporting & Follow-Up:
  • Prepare clear, concise, and objective audit reports with findings, observations, and recommended corrective actions.
  • Ensure adequacy and timely completion of corrective action plans.
  • Monitor implementation of corrective actions and provide consultation as needed.
• Risk & Compliance Monitoring:
  • Identify business risks and recommend efficiency improvements.
  • Stay current on healthcare regulations and compliance trends.
  • Research and synthesize regulatory information for stakeholders in an understandable format.
• Collaboration & Relationship Management:
  • Develop and maintain strong working relationships with compliance leadership, legal teams, and subject matter experts.
  • Partner with business leaders and functional owners to support compliance initiatives.
• Quality & Process Improvement:
  • Deliver high-quality work products consistently.
  • Contribute to team goals and suggest improvements to compliance processes.

Qualifications

• 5+ years of experience with hospital Revenue Cycle process knowledge gained through management or audit experience.
• 5+ years of experience in process auditing, including data acquisition and analytics, workpaper preparation, professional report writing, and process visualizations.
• Exceptional data analysis capabilities to interpret complex information and identify trends or risks.
• Expertise in researching and auditing to Federal and State regulations, payer guidelines, regulatory agency publications, and industry standards for hospitals and physician practices.
• Professional designation in one or more of the following areas or similar:
  • Certified Healthcare Internal Auditor Professional (CHIAP)
  • Certified Internal Auditor (CIA)
  • Certified Public Accountant (CPA)

Requirements

• Experience with EPIC, MS4, Meditech, SMS Invision, Cerner, Star, and other Healthcare platforms or technologies.
• Advanced level of proficiency with MS Word, Excel, and PowerPoint.
• Advanced level of proficiency with project management strategies.
• Significant experience communicating verbally and in writing with all levels of management including executives.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).