Provider Auditor I
About the role
The Provider Auditor is responsible for conducting Centers for Medicare & Medicaid Services (CMS) and other financial analysis, limited and full desk reviews, and in-house and on-site field audits to ensure proper reimbursement for health care providers for the Medicare programs. These positions are the face of Noridian interacting with providers/facilities management through the audit process which requires an advanced level of professionalism.
Responsibilities
- Initiates, plans, conducts, and finalize audits of financial, management, and administrative procedures of assigned cost reports.
- Responsible for determining appropriate scope and procedures for each individual review.
- Analyzes audit program to determine proper procedures are performed based on scope.
- Provides independent judgement and decisions regarding reviews and minimizes risk for organization and quality control.
- Participates in and facilitates meetings, entrance conferences, walkthroughs and exit conferences with external providers.
- Develops knowledge of documentation requirements from audit testing through preparation of audit workpapers.
- Possesses excellent written and verbal communication skills needed to draft, deliver, and issue corrective action plans for audit adjustment reports to consultants, CPA firms, management and provider executives.
- Performs risk analysis on provider financial statements to determine impact of potential risk of Medicare dollars.
- Must obtain a minimum of 80 CET hours every two years.
- Provides proactive support and process improvement by participating in special projects, documenting work as prescribed by the project.
- Collaborates with internal and external customers to determine and distribute requested information and documentation.
Requirements
Key Duties/Responsibilities/Accountabilities as described above.
Qualifications
- Bachelor's degree in Accounting, Business, Finance or equivalent work experience.
- Knowledge of accounting theory and practices.
- Proficient in Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint).
- Minimum of 80 CET hours every two years.
- Obtains a minimum of 80 CET hours every two years.
Skills
Excellent written and verbal communication skills.
Benefits
Health, Dental and Vision Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-paid Life Insurance, Education Assistance Program, Paid Sick Leave, Paid Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Severance Package, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, Open Office Setting, and Online Learning System.
Pay
The pay range for this position is $21.91 - $33.15 hourly, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
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