Lead, Audit (Healthcare Internal Audit)

Summary

The Lead Auditor is responsible for planning, supervising, and conducting complex operational, compliance, and process audits across Baylor College of Medicine’s Clinical functions. This role evaluates the effectiveness of internal controls, identifies risks within key healthcare and academic operations, and ensures departments are adhering to BCM guidelines, policies, and regulatory requirements. The Lead Auditor collaborates closely with stakeholders to strengthen operational efficiency, improve process integrity, and reinforce the control environment that supports BCM’s mission-driven work.

The ideal candidate brings direct auditing experience within a healthcare institution, with strong knowledge of clinical operations, revenue cycle, research administration, grants and contracts, and education-related processes. They excel at evaluating internal controls, applying IIA standards, and leveraging data analytics to produce actionable recommendations that enhance performance and compliance. In addition, the strongest candidates will have deep experience in healthcare revenue cycle auditing, including patient billing, coding, reimbursement processes, and familiarity with EHR systems such as Epic or similar platforms. This expertise enables them to assess end-to-end revenue-related workflows and identify opportunities to improve accuracy, compliance, and operational reliability.

This position may be eligible to work hybrid within the Greater Houston, TX area with occasional onsite as needed.

Job Duties

Audit Execution

• Plans, supervises, and executes a range of internal audits and special reviews, including functional/process, consultative and investigation reviews.
• Leads planning of internal audits and conducts research to obtain background information.
• Assesses risk, develops scope, audit objectives and work program.
• Executes fieldwork activities, conducts interviews, performs data analysis and performs testing independently.
• Utilizes available analytics and visualization tools in the execution of audit activities.
• Independently documents work performed in line with Department requirements and IIA Standards.
• Assesses risk and identifies relevant observations and provides recommendations to improve the control environment and efficiency of processes/controls based on leading practices.
• Teams with other internal audit team members to provide process and controls analysis where needed.

Project Management

• Sets deadlines for the completion of projects.
• Monitors project timelines and budget.
• Proactively communicates status to Audit leadership and team.

Reporting and Communications

• Communicates timely and clearly with stakeholders, including leadership, to articulate identified observations and recommendations and to provide ongoing updates regarding status of projects.
• Prepares well written audit reports, including drafts, audit closing discussion documents, and preparation of the final reports or memos.
• Maintains contemporaneous supporting documentation and evidence in the workpapers in support of all report observations.
• Performs follow up validation related to prior audit observations and management action plans.

Performs other job related duties as assigned.

Minimum Qualifications

• Bachelor's degree.
• Six years of relevant experience.

Preferred Qualifications

• Bachelor's degree in Accounting, Finance or related field.
• Master's degree in Accounting, Finance or related field and five years of relevant audit experience will also be considered.
• Healthcare or Academic institution experience, including Clinical, Research, and Education related processes and controls.
• Deep experience in healthcare revenue cycle auditing, including patient billing, coding, and reimbursement processes.
• Certified Internal Auditor (CIA); Certified Information Systems Auditor (CISA), Certified Public Accountant (CPA) or other certification in related field.
• Basic knowledge of internal control concepts (e.g., COSO), internal audit, IIA Standards, accounting and information technology.
• Ability to develop and leverage technologies, including AI, data analytics and visualizations (e.g., Power BI, ACL), a plus.
• SAP and Epic experience, a plus.