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Form of workDepartment Overview
The Audit Department at our subsidiary has associates working remotely in several states with physical offices located in Birmingham, AL. This unit is responsible for work related to audits and appeals for a subset of institutional providers located across the country. The audit sector conducts Medicare audits on provider cost reports to determine payment and calculates the final settlement determination on the audited cost reports. The audit area also handles cost report appeals and reopenings from various other Medicare contractors, as assigned by the Medicare Administrative Contractors (MACs).
Primary Responsibilities
The incumbent will perform work related to audits and special projects, as well as work related to appeals when assigned with minimal supervision. The incumbent will provide an advanced-level of instruction addressing questions and issued presented by subordinate associates. All work must be completed within budget allocations, as well as in a manner that meets or exceeds quality expectations and contracting requirements.
The work related to audits must be performed in accordance with Generally Accepted Accounting Principles (GAAP), Generally Accepted Auditing Standards (GAGAS), governing regulations, issued instructions, and internal policy and procedure manuals. Duties can include any one or more of the following tasks: requesting documentation; completing regulatory research; performing audit work; incorporating adjustments; and making recommendations for final settlement.
In addition, when appeals work is assigned, the incumbent will perform all work in accordance with all board policies, rules, procedures, timeframes, and instructions. Duties can include any one or more of the following tasks: drafting preliminary/final position papers; initiating discovery requests; handling reopening requests; completing jurisdictional challenges; and executing administrative resolutions.
The incumbent must continuously handle all information, documents, data, and interactions in a secure and confidential manner. Further, the incumbent must perform at all times in a professional manner as a representative of our subsidiary, the government, and other entities.
Over time, the incumbent is expected to develop and apply an appropriate level of knowledge, skills, and understanding of work at the Senior Auditor level in order to meet developmental goals and to be considered for potential promotion.
Summary of Qualifications
- Bachelor's degree in Accounting, Finance, Business Administration, or other job-related field of study with a minimum of 12 semester hours of accounting classes
- 3 years of healthcare/audit experience
- Advanced knowledge of Medicare reimbursement principles
- Demonstrated computer proficiency including Microsoft Office products, including Excel and Word
- Problem solving, organizational, and time management skills that allow for the prioritization of work to meet timeframes, deadlines, and budget/resource requirements
- Experience communicating clearly and effectively in oral and written form
- Strong interpersonal skills and experience maintaining professionalism in all situations
- Experience taking direction to ensure quality and accuracy of the work performed, as well as to accepting feedback to improve performance and develop skills
- Experience working independently and contributing as part of a team to complete assigned work
- Certified Public Accountant (CPA) is preferred
Terms and Agreements
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