Contractor auditor vs compliance auditor

Differences between contractor auditor and compliance auditor duties and responsibilities

Contractor auditor example responsibilities.

• Plan and conduct operational and financial audits to assure financial statements are fairly present in alignment with GAAP.
• File and follow up on healthcare claim appeals.
• Audit work are performed on-site at Clifton Gunderson, LLP CPA firm
• Review results of third party SoX testers and coordinate documentation of results.
• Claim audit consist of review of accurate ICD9, CPT and HCPCS coding.
• Create quick reference database tool for Medicaid policies, procedures and rules per state.
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Compliance auditor example responsibilities.

• Work with department analyst to create measurement tools and methods for communicating results and managing QA analysis in compiling/reporting results.
• Identify any issues that do not conform to CFR, ICH guidelines and corporate expectations.
• Research HIPAA information from CMS website in order to determine correct revisions for policies and procedures and develop company-wide communications.
• Coordinate team meetings, maintain calendars, support team with PowerPoint presentations.
• Prepare and perform in-house presentations (both in person and using JoinMe) using PowerPoint.
• Evaluate the level of compliance with company policy, GAAP, contract requirements and applicable rules and regulations.
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