Hybrid Audit Coordinator at Pascua Yaqui Tribe, AZ

About the Department

The Audit Manager/Coordinator in the Health Services Division (HSD)-Healthcare Compliance Department leads the design, execution, and oversight of internal and external audits to ensure adherence to healthcare regulations, accreditation standards, and organizational policies. This role involves identifying risks, recommending corrective actions, and fostering a culture of accountability and compliance across the organization.

Position Duties

1. Develop and implement an annual audit plan focusing on high-risk compliance areas, including billing, coding, patient privacy, and clinical operations.
2. Conduct routine and targeted audits, ensuring they are performed according to established standards and timelines.
3. Ensure adherence to healthcare regulations, including HIPAA, CMS, OSHA, and Stark Law, through regular monitoring and assessments.
4. Stay informed about changes in regulations and update audit procedures accordingly.
5. Identify compliance risks and gaps through audits and provide actionable recommendations to address them.
6. Collaborate with HSD leadership to develop and implement risk mitigation strategies.
7. Prepare detailed audit reports outlining findings, recommendations, and timelines for corrective action.
8. Maintain accurate and confidential records of audit activities and outcomes.
9. Monitor the implementation of corrective actions to ensure timely resolution of compliance issues.
10. Provide support and guidance to HSD in achieving compliance.
11. Contribute to the creation and revision of compliance-related policies and procedures based on audit findings.
12. Ensure policies align with regulatory requirements and best practices.
13. Collaborate with the Training Coordinator to design and deliver training based on audit findings.
14. Promote awareness of compliance standards and audit processes among staff.
15. Act as a liaison with external auditors, regulatory agencies, and accreditation bodies during audits or inspections.
16. Analyze trends in audit findings to identify systemic issues and opportunities for organizational improvement.
17. Recommend enhancements to the audit process to increase efficiency and effectiveness.
18. Perform other duties of a similar nature or level as requested by the supervisor or director.

Minimum Qualifications

Knowledge of:

• Professional practice
• Leadership
• Ethical conduct
• Customer client focus
• Expertise in conducting compliance audits and risk assessments
• Strong knowledge of healthcare regulations, privacy laws, and industry standards
• Yaqui culture, customs, resources, and traditions, and/or a willingness to learn

• Ability to read, interpret, comprehend, and comply with written documents or instructions furnished through various modes, including written oral, diagram, or schedule format.
• Ability to listen, communicate, and constantly interact with a wide range of diverse individuals and personalities professionally
• Intermediate skills in successfully operating computer equipment and general software applications, including word processing, spreadsheets, presentation software, database programs, and a general understanding and skill working with enterprise software programs
• Ability to work effectively in a dynamic environment presenting multiple priorities
• Excellent interpersonal, communication, and written skills; proven ability to work independently with various stakeholders
• Good practical experience with MS Office and program management software
• Strong organizational and leadership skills, with business-oriented thinking
• Strong analytical and problem-solving skills, with good strategic ability
• Public speaking and presentation skills
• Operate a variety of office equipment, including a computer and related software applications;
• Good communication and interpersonal skills as applied to interaction with co-workers, supervisor, management, Council members, and the public. Have ability to sufficiently exchange or convey information and receive verbal and written work instructions

Other Qualifications

Bachelor’s degree in healthcare administration, Compliance, or a related field and a minimum of 3 years of experience in healthcare compliance auditing; or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job such as those listed above.

Special Requirements:

• Master’s degree in healthcare administration, Compliance, or a related field preferred.
• Certified Healthcare Internal Audit Professional (CHIAP) or Certificate in Healthcare Compliance (CHC) preferred. CHIAP or CHC must be obtained within two (2) years of employment with PYTHSD.
• Must possess and maintain a valid Arizona Driver’s License
• Must have a current Level 1 Arizona Clearance Card or be able to obtain one within ninety (90) days of hire. Failure to maintain a current Level 1 Clearance Card will result in termination from this position.