Staff Auditor
The Staff Auditor will perform reviews of Medicaid provider cost reports, analyze healthcare provider financial information, perform reimbursement calculations, and prepare written documents supporting professional decisions.
Essential Functions:
Requirements:
- Conduct desk reviews of healthcare providers
- Conduct research in order to determine billing and reimbursement compliance with relevant Medicaid or other government program regulations
- Conduct all phases of the review including planning and research, risk assessment, review, 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 the scope and findings of the audit in accordance with Medicaid or other government program regulations and AICPA standards
- Demonstrate excellence in communication skills, data gathering, analysis, reporting, and process improvement
- Maintain security and confidentiality of all protected health information when analyzing material
- Maintain thorough electronic documentation
- Additional responsibilities as assigned
Requirements:
- Bachelor’s degree in accounting or related field required; Master’s degree in accounting or related field preferred
- Minimum GPA of 3.25 preferred
- CPA or CPA candidate preferred
- Internship or equivalent working experience in accounting or a related field preferred
- Medicare or Medicaid cost reporting experience is highly desired
- Experience with health care auditing and data analysis is highly desired
- Ability to review statutory/regulatory or other policy language and apply requirements
- Strong analytical, research, and problem-solving skills
- Strong investigative or compliance review 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
- Must be able to manage multiple deadlines and prioritize assignments
- Proficient use of applicable software programs, including Microsoft Office suite (i.e. Excel, Access, etc.)
- Travel is required throughout the Commonwealth of Virginia up to 50%
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