Insurance auditor vs senior auditor

Differences between insurance auditor and senior auditor duties and responsibilities

Insurance auditor example responsibilities.

• Manage the collection, analysis and verification of managerial payroll information to detect fraud and/or unethical practices.
• Prepare the audit report as prescribed by the insurance company within the time allow and within NCCI and ISO rules.
• Modify claim files upon customer request using proprietary software under strict HIPAA guidelines.
• Provide contract audit services to monitor the field sales force compliance with internal policies on promotional spending on healthcare providers.
• Audit paperwork to ensure products are produced within company and FDA specification.
• Develop and implement the recovery audit program for post-payment audit of dental Medicaid programs.
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Senior auditor example responsibilities.

• Conduct routine retrospective and prospective audits for ICD-10 CM/PCS, CPT and HCPCS for outpatient/inpatient facility and manage auditors.
• Lead internal control reviews for an internationally own agriculture manufacturing company focuse on the inventory and payroll areas.
• Create technology specific audit programs for SOX and operational audits ensuring that risks are clearly define and adequately test.
• Enforce regulatory requirements and uphold Sarbanes-Oxley financial disclosure procedures to ensure accurate representation of internal and on-site audit assignments.
• Guide clients with the compliance of the accounting standards (IFRS).
• Prepare, and conduct all GxP (GMP, GLP, and GCP) in house and CMO training.
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