Overview
This role involves conducting audits and desk reviews of Medicare Cost Reports in compliance with Centers for Medicare & Medicaid Services (CMS) regulations. The Cost Report Auditor ensures the accuracy and integrity of financial and statistical data submitted by healthcare providers, supporting the effective use of U.S. tax dollars within the Medicare program. The position upholds government auditing standards and promotes cost-effective healthcare delivery.
Responsibilities
- Perform audits and desk reviews using the Uniform Desk Review/Audit Program, meeting interim and monthly production goals.
- Prepare audit adjustment reports and detailed work papers in accordance with Government Auditing Standards and CMS requirements.
- Analyze financial and statistical data, including expenses and revenues, to assess reasonableness and regulatory compliance.
- Review provider pricing policies for consistency and examine statistical data for proper cost allocation.
- Participate in work groups to improve work paper guidelines, auditing techniques, and documentation standards.
- Communicate with providers to explain audit findings, provide supporting documentation, and clarify applicable regulations.
Requirements
- Bachelor’s degree in Accounting, Finance, Business Administration, or a related field, or equivalent post-high school education and/or work experience.
- Strong analytical and decision-making skills.
- Exceptional organizational skills with high attention to detail.
- Strong verbal and written communication skills.
- Proficiency with Microsoft Excel.
Preferred Qualifications
- Knowledge of CMS Medicare Cost Reporting requirements and Government Auditing Standards.
- Experience with audit methodologies, financial analysis, and regulatory compliance.
Remote Work Requirements
- Wired (ethernet cable) internet connection from router to computer.
- High-speed cable or fiber internet.
- Minimum internet speed of 10 Mbps downstream and 1 Mbps upstream.
Compensation & Benefits
- Salary range: $47,000 - $51,000 (base pay varies based on knowledge, skills, and experience).
- Remote and hybrid work options available.
- Performance bonus and/or merit increase opportunities.
- 401(k) plan with 100% match on the first 3% of salary and 50% match on the next 2% (100% vested immediately).
- Competitive paid time off.
- Health insurance, dental insurance, and telehealth services starting on day one.
- Professional and leadership development programs.
Work Location
Remote work is available in the following states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin.
Additional Information
This position supports services under CMS contracts and is subject to all applicable federal regulations, CMS contract requirements, and internal policies related to data security, privacy, confidentiality, and program integrity. Personnel are subject to screening and background investigations, including fingerprinting, prior to access to sensitive information systems and data.
Ideal Candidate Profile
- Thrives in a fast-paced, deadline-driven environment.
- Extremely detail-oriented with the ability to identify inaccuracies.
- Comfortable defending decisions with data and facts.
- Strong math and problem-solving skills.
- Interested in flexible work hours and maintaining work-life balance.
- Prefers working remotely from home, avoiding commute time and costs.
Opportunities for Growth
- Gain experience with a management team focused on high performance.
- Learn foundational auditing principles that support career advancement.
- Receive a thorough introduction to healthcare reimbursement.
- Contribute to serving Medicare beneficiaries and providers.
- Work in an environment with continuous performance feedback.