Senior Healthcare Compliance Audit Specialist

Job Functions, Duties, Responsibilities and Position Qualifications:

We're not just a workplace - we're a Great Place to Work certified employer!

Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!

About the Role

Sonic Healthcare USA is seeking a Senior Compliance Audit Specialist to support and enhance our Compliance Program within the WSW Division. This role is ideal for a detail-oriented compliance professional with strong expertise in laboratory billing, regulatory oversight, and data analytics. You will play a critical role in identifying risk, strengthening internal controls, and ensuring adherence to federal and state healthcare regulations.

This opportunity is full time located at 9200 Wall Street Austin, TX 78754.

In this role, you will:

• Conduct compliance audits and monitoring activities across clinical and billing operations
• Support the annual compliance risk assessment and work plan development
• Analyze data to identify trends, risks, and compliance gaps
• Audit revenue cycle functions (ABNs, charge master, denials, standing orders)
• Review Medicare guidelines including CCI edits, MUEs, LCDs/NCDs
• Develop and maintain auditing tools within XiFin and other systems
• Track and evaluate corrective actions and remediation effectiveness
• Perform on-site laboratory and phlebotomy compliance inspections
• Support investigations, hotline activities, and compliance reporting
• Deliver Compliance and HIPAA training across the organization
• Travel: ~25% (one week/month)

All you need is:

• Bachelor's degree (Healthcare Compliance, Health Sciences, or related field preferred)
• 3+ years of healthcare compliance and/or medical billing experience
• Strong knowledge of laboratory billing and Medicare regulations
• Experience with XiFin or similar billing systems
• Advanced analytical and problem-solving skills
• Excellent communication and stakeholder engagement abilities

Bonus points if you've got:

• CHC, CPC, or equivalent certification
• Laboratory operations experience

We'll give you:

• Appreciation for your work
• A feeling of satisfaction that you've helped people
• Opportunity to grow in your profession
• Free lab services for you and your dependents
• Work-life balance, including Paid Time Off and Paid Holidays
• Competitive benefits including medical, dental, and vision insurance
• Help saving for retirement, with a 401(k) plus a company match
• A sense of belonging - we're a community!

We also want you to know:

This role will have routine access to Protected Health Information (PHI). Employees will be trained on reasonable safeguards and are expected to maintain strict confidentiality, as well as abide by all applicable privacy and security standards. Employees are expected only to access PHI when it is required to fulfill job duties.

Scheduled Weekly Hours:

40

Work Shift:

Job Category:

Administration

Company:

Clinical Pathology Laboratories, Inc.

Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.