Details

Salary and Benefits

MVR 0+

Job Description

General Requirements

• Bachelor’s Degree in Auditing, Accounting, Finance or Business (MQA Level 7)
• Minimum 3 years’ experience in Internal Audit or Financial Consultancy, preferably in a healthcare environment
• Strong proficiency in data analytics, root cause analysis, and MS Excel
• Experience with Hospital Information Systems (HIS)
• Excellent analytical, problem-solving skills

 

Job Specification:

• Plan and perform consulting assignments in accordance with the Internal Audit Department Manual and Global Internal Audit Standards to improve hospital operations and add value
• Lead assigned consulting engagements and project work in revenue cycle integrity by performing technical data extraction, mapping, and identifying systemic leakage points within the billing cycle
• Utilize HIS and payer data sources to perform deep-dive analyses on daily billing, insurance rejections, and clinical documentation gaps, while reviewing data integration issues between HIS and insurance platforms
• Conduct detailed investigations and root cause analysis into operational and financial failures across the billing cycle
• Prepare advisory reports and presentations for the Head of Internal Audit to communicate findings and project progress
• Perform testing and independent validation to ensure that implemented project actions and controls effectively reduce revenue claims rejection rates
• Develop and maintain monitoring dashboards to track the ongoing performance of implemented controls and the overall ROI of advisory projects
• Maintain objectivity and independence while acting as a professional advisor to department heads on process optimization and internal control design
• Contribute to the development of the Annual Risk-Based Audit Plan and provide technical guidance for audit staff where appropriate
• Ensure all engagement work papers and advisory documentation are maintained in strict accordance with the Internal Audit Charter
• Stay current with Global Internal Audit Standards, JCI standards, healthcare industry trends, and best practices to maintain professional competence
• Carry out any other relevant responsibilities and specialized tasks as assigned by the Head of Internal Audit

Requirements and Qualifications

Minimum Experience

Not Specified

Minimum Qualification

Bachelor’s Degree

Other Information

Industries

• Hospitals and other health activities

Occupations

• Internal Auditor

Employment Type

• Full-Time