Senior Provider Auditor
New
J
JobgetherMedicare auditing
Candidates must be located within one of the 50 U.S. states or the District of Columbia.Full-TimeSenior
Salary$59,937.84–$98,582.59, depending on geographic location, relevant experience, job-related knowledge, skills, and internal equity.
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Job Details
- Experience
- At least three years of experience in Medicare auditing.
- Required Skills
- Microsoft ExcelMicrosoft OfficeFinancial analysis
Requirements
- Have a bachelor's degree in Accounting, Business, Finance, or a related discipline, or equivalent professional experience.
- Have at least three years of experience in Medicare auditing.
- Be familiar with provider reimbursement reviews and healthcare financial analysis.
- Have advanced knowledge of Medicare rules and regulations, including the Code of Federal Regulations and Provider Reimbursement Manual.
- Understand requirements governing Medicare Cost Reports and reimbursement calculations.
- Have a strong understanding of accounting principles, financial analysis, audit documentation, testing methodologies, and reimbursement practices.
- Be proficient in Microsoft Office applications, particularly Word, Excel, Outlook, and PowerPoint.
- Be able to coach, advise, mentor, and develop colleagues while exercising professional judgment.
- Be able to prepare reports, deliver presentations, provide constructive feedback, and support training initiatives.
- Be able to work independently in a remote environment while collaborating with colleagues and following established procedures.
- Maintain continuing education requirements and stay current with Medicare reimbursement regulations and audit practices.
Responsibilities
- Conduct Medicare-related financial analyses, desk reviews, and in-house or on-site field audits.
- Evaluate Medicare Cost Reports, reimbursement calculations, and compliance with applicable requirements.
- Review audit documentation, testing procedures, and workpapers for accuracy and adherence to established methodologies.
- Identify deficiencies and risks, recommend corrective action plans, and prepare reports communicating audit findings.
- Provide technical guidance and strategic recommendations to junior and intermediate auditors.
- Coach, train, and mentor team members and support employee onboarding and development.
- Review less complex assignments and provide feedback to improve audit consistency, efficiency, and quality.
- Build professional relationships with healthcare providers and facility management, and participate in provider education and outreach.
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