Overview
This role supports audits and reimbursement-related work for government-sponsored health care programs, including Medicaid. Responsibilities include reviewing provider cost reports, analyzing financial information, performing reimbursement calculations, and documenting findings in accordance with applicable Medicaid or other government program regulations and AICPA standards.
Responsibilities
- Perform reviews of Medicaid provider cost reports
- Analyze health care provider financial information
- Perform reimbursement calculations
- Prepare written documents supporting professional decisions
- Conduct desk reviews and various on-site audits
- Research billing and reimbursement compliance with relevant Medicaid or other government program regulations
- Conduct all phases of the audit, including planning and research, risk assessment, fieldwork, reporting of findings, and other procedures as required
- Review applicable Federal and State policies and regulations associated with each specific audit type prior to performing the audit
- Prepare working papers to document audit scope and findings in accordance with Medicaid or other government program regulations and AICPA standards
- Maintain security and confidentiality of all protected health information when analyzing material
- Maintain thorough electronic documentation
- Demonstrate excellence in communication skills, data gathering, analysis, reporting, and process improvement
- Perform additional responsibilities as assigned
Requirements
- Bachelor’s degree in accounting or related field
Preferred Qualifications
- Master’s degree in accounting or related field
- CPA or CPA candidate
- Internship or equivalent working experience in accounting or related field
- Experience with health care auditing and data analysis
- Ability to review statutory/regulatory or other policy language and apply requirements
- Strong analytical and problem-solving skills
- Strong verbal and written communication skills
- Well organized with a high degree of accuracy and attention to detail
- Effectively multi-task with planning and efficiency
- Ability to manage multiple deadlines and prioritize assignments
- Proficient use of applicable technology, specifically Microsoft Office Applications (Excel, Word, etc.)
- Ability to travel based on client and business needs
Compensation & Benefits
- Health, dental, and vision insurance along with other competitive employee benefits for eligible associates
- Vacation time, sick time, and paid holidays
- Paid parental leave and available support resources
- 401(k) with company matching for eligible employees
- Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks
- A combination of technical and leadership development training at each career milestone
- Up to six counseling sessions per year for eligible employees through an Employee Assistance Program
Location
Not specified in the provided job description.