Internal Audit Executive

Job Purpose

To independently evaluate hospital processes, financial and operational controls, statutory and regulatory compliance, and risk-management practices; identify gaps and recommend corrective and preventive actions to improve operational efficiency, patient safety, compliance, and internal controls.

Key Roles & Responsibilities

1. Internal Audit & Process Review

• Conduct periodic internal audits across hospital departments and units.
• Audit clinical and non-clinical processes as per the approved audit plan.
• Review adherence to hospital SOPs, policies, work instructions and defined processes.
• Identify process gaps, deviations, control weaknesses and operational risks.
• Verify the effectiveness of existing internal controls.
• Conduct surprise audits where required.

2. Financial & Revenue Controls

• Review billing, collections, cash handling and refund processes.
• Verify controls related to OPD/IPD billing, pharmacy, laboratory, radiology and other revenue areas.
• Review discounts, concessions, cancellations, refunds and credit transactions.
• Check revenue reconciliation between systems, cash/bank collections and departmental records.
• Identify revenue leakage, duplicate transactions and unusual or unsupported transactions.

3. Inventory & Asset Audit

• Audit pharmacy, medical stores, consumables and other inventory.
• Verify stock records against physical stock.
• Review expiry, near-expiry, slow-moving and non-moving inventory.
• Audit purchase, issue, transfer and consumption processes.
• Verify fixed assets and identify discrepancies, unauthorized movement or improper utilization.

4. Hospital Operations Audit

• Review operational processes across OPD, IPD, OT, ICU, NICU/PICU, pharmacy, laboratory, radiology, front office, billing and other departments.
• Check compliance with defined workflows and authorization matrices.
• Review patient-related documentation and process controls.
• Identify operational inefficiencies and recommend corrective measures.

5. HR & Compliance Audit

• Review employee files, attendance, leave, payroll-related controls and HR documentation.
• Check adherence to approved manpower, authorization and HR processes.
• Review statutory compliance records and supporting documentation in coordination with HR.
• Verify implementation of hospital policies and employee-related processes.

6. NABH & Regulatory Compliance

• Conduct audits against applicable NABH standards, hospital policies and regulatory requirements.
• Review documentation and evidence required for accreditation and regulatory compliance.
• Identify non-conformities and support departments in closure of audit observations.
• Monitor compliance with corrective and preventive actions.

7. Risk Management & Fraud Control

• Identify potential financial, operational and compliance risks.
• Investigate suspected process violations, irregularities or control failures when assigned.
• Review high-risk transactions and exception reports.
• Escalate significant findings to the appropriate management authority.
• Recommend preventive controls to minimize recurrence.

8. Audit Reporting & Corrective Action

• Prepare detailed audit reports with observations, evidence, risk implications and recommendations.
• Categorize observations based on their severity and business impact.
• Share audit findings with concerned HODs/Unit Heads.
• Track corrective and preventive actions (CAPA) until closure.
• Conduct follow-up audits to verify effective implementation.

9. MIS & Management Reporting

• Prepare periodic internal audit MIS and dashboards.
• Track audit plan completion, observations, CAPA status and overdue actions.
• Highlight recurring issues and major control gaps to management.
• Provide data-driven recommendations for process improvement.