DME Auditing & Monitoring Program Supervisor

Medical Service Company

Cleveland, Ohio

JOB DETAILS
SKILLS
Accidental Death and Dismemberment (AD&D), Analysis Skills, Auditing, Billing, Content Management Systems (CMS), Corporate Compliance, Corporate Policies, Cross-Functional, Customer Relations, Dental Insurance, Documentation, Durable Medical Equipment, Employee Assistance Plan, Employee Relations, Establish Priorities, Healthcare, Insurance, Internal Audit, Interpersonal Skills, Maintain Compliance, Medicaid, Medical Billing, Medical Equipment, Medicare, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Organizational Skills, Policy Development, Presentation/Verbal Skills, Problem Solving Skills, Procedure Development, Process Improvement, Product/Service Launch, Project/Program Management, Psychiatry and Mental Health, Quality of Life, Regulations, Regulatory Compliance, Regulatory Requirements, Research Skills, Risk, Risk Analysis, Risk Management, Software Administration, Source Code/Configuration Management (SCM), Staff Training, State Laws and Regulations, Team Player, Testing, Tuition Reimbursement, Vision Plan, Writing Skills
LOCATION
Cleveland, Ohio
POSTED
12 days ago
At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC).
 
MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work!
 
MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US.
 
In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success! 
 
We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days.  Benefits included!
 
Apply today to become a part of our dynamic team!
  • Competitive Pay
  • Advancement Opportunities
  • Medical, Dental & Vision Insurance
  • HSA Account w/Company Contribution
  • Pet Insurance
  • Company provided Life and AD&D insurance
  • Short-Term and Long-Term Disability
  • Tuition Reimbursement Program
  • Employee Assistance Program (EAP)
  • Employee Referral Bonus Program
  • Social Recognition Program
  • Employee Engagement Opportunities
  • CALM App
  • 401k (with a matching program) / Roth IRA
  • Company Discounts
  • Payactiv/On-Demand Pay 
  • Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays
The Auditing & Monitoring Program Supervisor Under the direction of the Sr. Director, Compliance, Risk & Regulatory, this position leads the internal auditing and monitoring program. This individual will strengthen compliance with internal testing of policy and procedure management.
 
Responsibilities and Duties:
  • Oversee internal auditing and monitoring to ensure compliance with company policies and procedures.
  • Supervise audit and monitoring staff
  • Develop and maintain a risk-based audit and monitoring plan, adjusting priorities based on regulatory requirements, internal risk assessments, and audit outcomes.
  • Oversee audit execution to ensure consistent methodologies, thorough documentation, and defensible results.
  • Align audit activities with CMS, ACHC, and state regulatory standards, supporting ongoing accreditation readiness
  • Partner with cross-functional leaders to drive process improvements and reduce compliance risk exposure (eg., Operations, Revenue Cycle, Credentialing, and IT)
  • Serves as a subject matter expert on audit findings and regulatory expectations
  • Maintaining version control of policies and procedures, including coordinating the production of documentation.
  • Conduct the necessary research to develop internal policies and procedures that will support the company and regulatory compliance.
  • Acts as internal administrator for associated software platform(s) used to manage policies and procedures.
  • Works closely with manager and Training department to properly roll-out new and updated policies and procedures.
  • Works closely with Supervisor, Compliance Regulatory on policies and procedures conducting the necessary research to develop internal policies and procedures that will support the company and regulatory compliance
  • Developing and maintaining excellent relationships with staff to ensure consistent application of regulations and policies, advising/briefing/training staff as necessary.
  • Other Projects as required.
 
 
Minimum Qualifications:    
Education:     Bachelor’s degree in a related field
 
Experience/Knowledge/Skills/Physical Requirements:
  • DME Industry experience, preferably in a regulatory capacity
  • Experience in internal audit and monitoring.
  • Analytical skills refer to your ability to break down a problem, gather facts, and find a logical solution.
  • Demonstrated ability to use Smartsheet, Microsoft Excel, Word and PowerPoint
  • Familiarity with Medicare, State Medicaid and commercial insurance   billing and reimbursements as related to DME
  • Excellent verbal and written communication and customer relation skills.
  • Excellent interpersonal and organizational skills (a team player).
 

About the Company

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Medical Service Company