Address
Form of workCompany Description
Job Description
County Demo Unit performs audits to assess the Medicaid Provider's compliance with laws, rules, regulations, and policies of the Medicaid program as set forth by the Departments of Health, Mental Hygiene, and Social Services.
CDU is recruiting for one (1) Management Auditor II to function as an Audit Supervisor, who will:
-Supervise audit staff performing detailed, comprehensive cost-benefit and work simplification analyses and audits, by employing statistical sampling techniques. Monitor audits to evaluate operational and program effectiveness and efficiency and determine compliance with prescribed methods and procedures for proper accounting and maintenance of records and controls.
-Conduct for first-level review of draft and final Audit Reports produced by audit staff to ensure that they compliant with the applicable State, Medicaid, and Agency rules and regulations for auditing.
-Conduct complex desk audits of Durable Medical Equipment (DME) to determine whether the high-cost beds and accessories should be rented, purchased, are FDA-cleared, and conform to accepted industry standards. Conduct field audits of Medicaid Providers to monitor compliance with OMIG protocols and the NY State Department of Health guidelines.
-Resolve issues associated with missing, questionable, incorrect, or inaccurate document submissions by Medicaid providers. Accompany staff auditors in the field to review and collect documents from non-responsive providers. Provide corresponding guidance to management auditors. Alert Assistant Director to issues that require their involvement.
-Participate in pre and post audit conferences and interviews with providers and OMIG for the assigned audits.
-Conduct training for audit personnel for work activities performance. Hold individual and unit meetings, invite and answer questions. Provide examples of proper audit methods, to increase employees' areas of competency.
-Rate and evaluate job performance of audit staff through observation, records, and use of appropriate forms.
Qualifications
1. A baccalaureate degree from an accredited college or university, accredited by regional, national, professional or specialized agencies recognized as accrediting bodies by the U.S. Secretary of Education and by the Council for Higher Education Accreditation (CHEA) including or supplemented by 24 semester credits in accounting, including one course each in: advanced accounting, auditing, and cost accounting; and one of the following:
(A) one year of full-time satisfactory experience in management auditing, financial auditing, and/or information technology (IT) auditing; or
(B) a valid Certified Public Accountant license issued by the New York State Education Department; or
(C) a valid Certified Internal Auditor certificate issued by the Institute of Internal Auditors (IIA); or
2. A satisfactory combination of education and/or experience equivalent to "1" above. Education and/or experience may be substituted as follows:
(A) two years of full-time satisfactory experience in financial or managerial accounting may be substituted for the one year of experience described in "1(A)" above;
(B) undergraduate or graduate credits from an accredited college or university, accredited by regional, national, professional or specialized agencies recognized as accrediting bodies by the U.S. Secretary of Education and by the Council for Higher Education Accreditation (CHEA) in management, computer science, public administration, and/or business administration may be substituted for up to 9 semester credits in accounting, on a credit for credit basis.
However, all candidates must have a baccalaureate degree including or supplemented by 15 semester credits in accounting, including one course each in advanced accounting, auditing, and cost accounting, and one of the following: at least one year of the experience described in "1(A)" above or its equivalent; or a Certified Public Accountant license; or a Certified Internal Auditor certificate, as described in "1(B)" or "1(C)" above.
To be eligible for placement in Assignment Level II individuals must have, in addition to meeting the minimum requirements, at least one year of experience as a Management Auditor - Assignment I or at least two years of experience in management auditing, financial auditing, and/or information technology (IT) auditing.
Additional Information
The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.
Job Description
County Demo Unit performs audits to assess the Medicaid Provider's compliance with laws, rules, regulations, and policies of the Medicaid program as set forth by the Departments of Health, Mental Hygiene, and Social Services.
CDU is recruiting for one (1) Management Auditor II to function as an Audit Supervisor, who will:
-Supervise audit staff performing detailed, comprehensive cost-benefit and work simplification analyses and audits, by employing statistical sampling techniques. Monitor audits to evaluate operational and program effectiveness and efficiency and determine compliance with prescribed methods and procedures for proper accounting and maintenance of records and controls.
-Conduct for first-level review of draft and final Audit Reports produced by audit staff to ensure that they compliant with the applicable State, Medicaid, and Agency rules and regulations for auditing.
-Conduct complex desk audits of Durable Medical Equipment (DME) to determine whether the high-cost beds and accessories should be rented, purchased, are FDA-cleared, and conform to accepted industry standards. Conduct field audits of Medicaid Providers to monitor compliance with OMIG protocols and the NY State Department of Health guidelines.
-Resolve issues associated with missing, questionable, incorrect, or inaccurate document submissions by Medicaid providers. Accompany staff auditors in the field to review and collect documents from non-responsive providers. Provide corresponding guidance to management auditors. Alert Assistant Director to issues that require their involvement.
-Participate in pre and post audit conferences and interviews with providers and OMIG for the assigned audits.
-Conduct training for audit personnel for work activities performance. Hold individual and unit meetings, invite and answer questions. Provide examples of proper audit methods, to increase employees' areas of competency.
-Rate and evaluate job performance of audit staff through observation, records, and use of appropriate forms.
Qualifications
1. A baccalaureate degree from an accredited college or university, accredited by regional, national, professional or specialized agencies recognized as accrediting bodies by the U.S. Secretary of Education and by the Council for Higher Education Accreditation (CHEA) including or supplemented by 24 semester credits in accounting, including one course each in: advanced accounting, auditing, and cost accounting; and one of the following:
(A) one year of full-time satisfactory experience in management auditing, financial auditing, and/or information technology (IT) auditing; or
(B) a valid Certified Public Accountant license issued by the New York State Education Department; or
(C) a valid Certified Internal Auditor certificate issued by the Institute of Internal Auditors (IIA); or
2. A satisfactory combination of education and/or experience equivalent to "1" above. Education and/or experience may be substituted as follows:
(A) two years of full-time satisfactory experience in financial or managerial accounting may be substituted for the one year of experience described in "1(A)" above;
(B) undergraduate or graduate credits from an accredited college or university, accredited by regional, national, professional or specialized agencies recognized as accrediting bodies by the U.S. Secretary of Education and by the Council for Higher Education Accreditation (CHEA) in management, computer science, public administration, and/or business administration may be substituted for up to 9 semester credits in accounting, on a credit for credit basis.
However, all candidates must have a baccalaureate degree including or supplemented by 15 semester credits in accounting, including one course each in advanced accounting, auditing, and cost accounting, and one of the following: at least one year of the experience described in "1(A)" above or its equivalent; or a Certified Public Accountant license; or a Certified Internal Auditor certificate, as described in "1(B)" or "1(C)" above.
To be eligible for placement in Assignment Level II individuals must have, in addition to meeting the minimum requirements, at least one year of experience as a Management Auditor - Assignment I or at least two years of experience in management auditing, financial auditing, and/or information technology (IT) auditing.
Additional Information
The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.
