Description
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)