Internal Audit Director

We’re looking for a highly driven Director of Internal Audits to bring leadership, integrity, and strategic oversight to our internal audit operations. This role is critical in ensuring the organization’s compliance with internal controls, risk management, and regulatory frameworks, especially across a fast-paced and regulated healthcare environment.

This is a high-impact, highly visible role with cross-departmental influence and responsibility. If you’re an experienced audit leader passionate about healthcare compliance, operations improvement, and developing high-performing teams, then this is the opportunity for you.

Key Responsibilities

• Lead and manage the Internal Audit Work Plan, including risk assessments, audit scoping, frequency planning, and implementation benchmarks.
• Ensure all audits align with departmental and regulatory standards, especially related to federal and state healthcare compliance.
• Conduct and oversee audits related to CPT/ICD-9/10 coding, CMS regulations, and medical record documentation practices.
• Collaborate with Compliance Officers to align audit and compliance objectives.
• Deliver regular audit reports to Executive Leadership, Finance, and Compliance departments.
• Lead and mentor audit staff to build a culture of accountability, continuous learning, and ethical compliance.
• Act as liaison across departments (Medical, Billing, Enrollment, Informatics, Managed Care) to troubleshoot, clarify, and improve audit-readiness.
• Contribute to the strategic development of ethical practices, training, and audit improvement initiatives.
  
  

Must-Have Qualifications

• Bachelor’s degree in Business Administration, Healthcare Administration, or a related field (required).
• 10 years of experience, including at least 5–7 years specifically in auditing within a healthcare organization.
• Proven supervisory and leadership experience managing cross-functional audit teams.
• Strong working knowledge of:
• CPT codes and ICD-9/10
• CMS guidelines
• Federal and state compliance regulations
• Medical terminology and healthcare documentation standards
• Proficient in Microsoft Office Suite; Excel and report-building are especially important.
• Demonstrated project management, prioritization, and multitasking skills in high-volume environments.
• Ability to communicate clearly with both senior leadership and cross-functional staff.
  

Bonus Attributes

• Experience preparing for external audits from OMIG/OIG or CMS auditors.
• Background in leading documentation training for providers and billing staff.
• Previous experience with audit-related software or internal systems for healthcare claims and documentation.
  
  

What You’ll Love

• Dynamic, mission-driven culture with room to lead initiatives.
• Strategic access to top executives, compliance leadership, and innovation teams.
• Professional growth, autonomy, and the ability to shape audit infrastructure.
  
  

Note: Only applicants who are eligible to work in the U.S. without sponsorship will be considered for this opportunity.

Skills: teams,icd,compliance,documentation,cms,healthcare,management,leadership,internal audit,healthcare compliance