Standard Occupational Classification (SOC): Financial Examiners

Financial Examiners in healthcare are responsible for ensuring that healthcare providers and facilities comply with laws, regulations and standards related to financial transactions and reporting. They work to prevent fraud, waste and abuse in the healthcare system and help to protect patients and taxpayers.

Duties of financial examiners in healthcare may include:

Auditing and reviewing financial records of healthcare providers and facilities

Identifying and investigating potential fraud, waste, and abuse

Monitoring compliance with healthcare laws and regulations, such as HIPAA and the Affordable Care Act

Analyzing financial data and identifying trends and patterns that may indicate fraud or other issues

Communicating findings and recommendations to management and regulatory agencies

Keeping up to date with changes in laws, regulations, and industry best practices

Financial Examiners in healthcare should have a background in accounting, finance, or a related field, as well as knowledge of healthcare laws and regulations. They may have a certification such as a Certified Healthcare Financial Professional (CHFP) or Certified Fraud Examiner (CFE).