Provider Auditor I
New
J
JobgetherMedicare auditing
The physical work location must be within one of the 50 U.S. states or the District of Columbia.Full-TimeEntry
Salary21.91 - 36.04 USD per hour
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Job Details
- Required Skills
- Microsoft ExcelAccountingFinancial analysisPowerPoint
Requirements
- Bachelor’s degree in Accounting, Business, Finance, or a related field, or equivalent professional experience.
- Working knowledge of accounting theory, principles, and practices.
- Proficiency with Microsoft Word, Excel, Outlook, and PowerPoint.
- Strong analytical and problem-solving abilities, including evaluating financial information and identifying potential risks.
- Strong written and verbal communication skills for explaining audit findings and corrective actions.
- Organizational and time-management skills to manage audit documentation, deadlines, and multiple assignments.
- Ability to exercise independent judgment and make sound decisions while following established policies and audit standards.
- Ability to interact effectively with healthcare providers, facility management, consultants, CPA firms, and other stakeholders.
- Attention to detail and commitment to accuracy, quality, confidentiality, and regulatory compliance.
- Ability to work with confidential financial and healthcare information while following privacy and security requirements.
- Maintain a minimum of 80 Continuing Education Training (CET) hours every two years.
- Physical work location must be within one of the 50 U.S. states or the District of Columbia.
Responsibilities
- Plan, conduct, and finalize audits of financial, management, and administrative procedures associated with provider cost reports.
- Determine audit scope, procedures, and testing requirements based on applicable audit programs and standards.
- Conduct financial analysis, desk reviews, and in-house or on-site field audits as assigned.
- Evaluate audit findings, make review decisions, and identify financial and quality-control risks.
- Facilitate provider meetings, entrance conferences, walkthroughs, and exit conferences.
- Maintain audit documentation and workpapers supporting testing, findings, adjustments, and conclusions.
- Analyze provider financial statements and assess potential risks to Medicare funds.
- Prepare and issue corrective action plans and audit adjustment reports to providers and other stakeholders.
- Collaborate with internal and external customers to obtain, organize, and distribute requested information and documentation.
- Contribute to special projects and process-improvement initiatives, and maintain required continuing education.
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