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CO
City of Roanoke, Virginia
Senior Auditor
Career Insights for Clinical Auditor / Utilization Reviewer
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What they do
A Clinical Auditor or Utilization Reviewer reviews the efficiency of healthcare delivery. Individuals tend to have had experience as a registered nurse or other healthcare delivery roles before transferring into this quality review role.
$93,847 / year median in Virginia
-9% projected decline
Job Description
The Senior Auditor conducts performance, operational, financial, and compliance audit projects under general supervision with considerable latitude for initiative and independent judgment; provides consulting services; assists with investigations; adheres to organizational, professional, and ethical standards. The City of Roanoke is an Equal Employment Opportunity/AA/M/F/Disability Employer. To elevate the performance of the organization, we are committed to respecting, celebrating, and embracing the collective mixture of differences and similarities between our employees as a rich tapestry. Our behaviors will demonstrate open communication, and we will seek opportunities to learn, recognizing and rewarding actions that promote acceptance while suspending judgment. By doing this, we will foster an inclusive, open work environment that delivers excellent service and creates a more vibrant and inviting community. This is an exempt position. SUMMARY Conducts performance, operational, financial, and compliance audit projects under general supervision with considerable latitude for initiative and independent judgment; provides consulting services; assists with investigations; adheres to organizational, professional, and ethical standards.
ESSENTIAL DUTIES AND RESPONSIBILITIES
include the following. Other duties may be assigned.- Develops an understanding of the function or area to be audited that enables effective early communication with client management and promotes efficient audit planning.
- Documents processes using narratives and flowcharts.
- Develops appropriate criteria for evaluating financial and operational performance.
- Gathers sufficient, relevant data through interviews, surveys, field observations, data retrieval and analysis, and sample testing to support meaningful conclusions.
- This includes understanding and application of statistical concepts that can help to provide context for large data sets, and; to make statistically valid operational and financial performance projections based on sample results.
- Documents all work in an organized and efficient manner so that peers, supervisors and clients can easily understand the information and reach the same conclusions.
- Communicates with client management and employees, as audit findings develop to ensure clarity and to facilitate timely resolution.
- Prepares clearly written observations that effectively describe the condition, cause, and effect of the concerns identified.
- Develops practical, effective action plans collaboratively with coworkers and clients.
- Prepares concise and accurate written reports that effectively use text, graphics, illustrations, and examples to ensure readers understand the work performed and the basis for conclusions.
- Maintains knowledge and skills through regular study, professional journals, conferences, and participation in professional associations.
- Assists in conducting investigations, including conducting surveillance, interviewing witness and the accused, and performing various test work.
- Other consulting and administrative duties, as needed.
Required Knowledge and Skills:
- Ability to maintain objectivity and professionalism at all times.
- Ability to maintain effective, cordial, and respectful working relationships.
- Ability to maintain composure in stressful situations.
- Effective verbal and written communications, including active listening skills.
- Critical thinking skills that support practical and effective solutions.
- Ability to demonstrate a moderate and empathetic attitude with clients.
- Ability to negotiate issues and resolve problems.
- Basic knowledge of auditing terminology, concepts, and practices.
- Computing skills that enable effective utilization of word processing, spreadsheet, presentation and auditing software.
- Skill in collecting, distilling, and analyzing complex data to develop logical conclusions.
- Familiarity with the common indicators of fraud.
- Familiarity with Generally Accepted Government Auditing Standards (Yellow Book), and Standards for Internal Control in the Federal Government (Green Book).