Internal Control Officer

Cedarcrest Hospitals Limited was founded in Abuja in January, 2008. The hospital started as a mono specialty centre and was formerly known as Cedarcrest Orthopaedic Clinics Ltd. Within a few years the hospital expanded its scope of services and has become a leading private multispecialty hospital. The core vision of the organisation is to provide world class specialist healthcare services to patients in Nigeria and the West African sub region.

Cedarcrest Hospitals Ltd currently has four hospitals located in Abuja, Lagos, Kainji and Jebba having over one hundred (100) bed capacity without patient camps in several other cities across Nigeria. Our services and facilities span several specialities and include emergency / trauma centre, radiology diagnostic centre, prosthetic manufacturing plant, oxygen manufacturing plant, modular surgical operating theatres, gastrointestinal endoscopy suite and several other facilities that make for a modern multispecialty hospital.

We are recruiting to fill the position below:

Job Position: Internal Control Officer

Job Locations: Abuja and Lagos

Job type: Full-time

Key Responsibilities

Billing and Invoicing Controls (Receivables):

• Review and sign off on HMO/NHIA and corporate invoices checking for proper pre-authorization, tariff accuracy, unbundled charges and dispute minimization before bills are dispatched.
• Review of Patient bill estimates for appropriate discount limit approvals.

Inventory, Pharmacy & Supply Chain Monitoring:

• Conduct weekly physical stock counts on selected items across all Pharmacies, theatres and P&O; and monthly for all items in all stores.
• Compare Physical stock count with Aya serve expected balance and investigate variances.
• Review procurement activities (three-way matching of Purchase Orders, Goods Received Notes, and Vendor Invoices) to ensure quantity and price compliance for value for money.

Operational & Clinical Governance Compliance:

• Perform routine and surprise spot-checks and ward rounds across administrative and clinical touchpoints to verify compliance with checklist and hospital Standard Operating Procedures (SOPs).
• Ensure strict adherence to clinical standards, Medical and Dental Council of Nigeria (MDCN) guidelines, PCN rules, and clinical quality accreditation frameworks (such as Safe Care).
• Review monthly payroll records alongside approved staff time sheets.
• Review petty cash request and disbursements alongside approval limit and support documents.
• Review expense request and patient refunds for proper approval thresholds and validity and appropriate support documentation.
• Review of monthly approved bank reconciliation statements (GL and bank statements).

Systems & Data Integrity:

• Review access controls, billing configurations, and audit trails within Afya serve and Zoho books.
• Identify and escalate system control overrides, unauthorized discounts, waivers, or charge modifications.

Risk Assessment & Control Non-conformity Reporting:

• Maintain the departmental Risk & Control Matrix (RCM), documenting control deficiencies, operational risks, and financial exposures.