- Workplace: Remote daily
- Regular or Temporary: Regular
- Weekly Working Hours: 40.00
- AIP Target %: 5
Responsible for proactively monitoring compliance with all applicable federal and state laws, regulations, policy directives and ethical requirements for Quest Diagnostics lines of business.
Responsibilities
- Lead auditor responsibilities for assigned audits. Responsible for coordinating all aspects of the audit process, including risk assessment discussions, communicating with the laboratory/region/function (including opening and closing meetings), directing the audit team through the audit, compiling the preliminary audit report, working with the laboratory/region/function to remediate all findings and reporting status updates by the end of each month.
- Audit specialist for assigned audit protocols. Responsible for performing assigned audit protocols for all scheduled audits in a timely manner and working with the policy guardian(s) and functional owners to evaluate and update audit protocols on an ongoing basis.
- Deep-Dive Audits. Responsible for the performance of specialized audits as needed.
- Project Management. Responsible for the performance of special projects as needed.
- Process Improvement. Responsible for working with cross-functional teams on process improvement initiatives as needed.
Qualifications
Required Work Experience:
- A minimum of five years in the laboratory industry with a background in compliance, billing or medical technology
- 3 years proven project management skills
Knowledge:
- Working knowledge of Compliance Policies and impact of potential violations
- Knowledge of test pricing, CPT coding and reimbursement processes
Skills:
- Proficiency in Access, Excel, Word and Outlook required
- Ability to work effectively both independently and within a team
- Excellent leadership abilities, integrity, trustworthiness, commitment, resilience, high energy and motivation
Education
- Bachelor’s Degree B.S. Degree in business, accounting, or a related field, or equivalent combination of education and experience (Preferred)
- High School Diploma or Equivalent (Required)
