Job Listing
|
|
| Job ID: 14032505 |
|
| |
| Job Location: |
|
| |
|
|
| |
| How to Apply: | To see employer contact information, log in or register. |
| |
| Job Title: | Senior Provider Auditor |
| Work Type: | Work Days: Work Vary: Yes , Shift: Other, Hours Per Week: 40, Work Type: Regular |
| |
| Salary Offered: | Unspecified |
| Benefits: | Unspecified. |
| |
| Physical Required: | Unspecified |
| Drug Testing Required: | Unspecified |
| Education Required: | Bachelor's Degree |
| |
| Experience Required: | Unspecified |
| |
| Required Skills: | Please see the job description for information about required job skills. |
| Preferred Skills: |
|
| |
| |
| |
|
| Job Description: |
Description
* Position is eligible for Remote / Work from Home opportunity *
Department: Provider Audit
Job Grade: E12
Notice of Collection & Privacy Policy for Applicants Residing in California:
Job Title
Senior Provider Auditor
Job Summary
The Provider Auditor is responsible for conducting Centers for Medicare & Medicaid Services (CMS) and other financial analysis, limited and full desk reviews, and in-house and on-site field audits to ensure proper reimbursement for health care providers for the Medicare programs. These positions are the face of Noridian interacting with providers/facilities management through the audit process which requires an advanced level of professionalism. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits.
Essential Functions
Key Duties/Responsibilities/Accountabilities
Possesses and maintains a high level of working knowledge in Medicare rules, regulations (e.g, Code of Federal regulations, Provider reimbursement Manual) to ensure reimbursement principles are properly applied to the Medicare Cost Report so that medicare reimbursement is accurate.
Mentors staff at all levels by training, coaching, and providing constructive and positive feedback.
Assists with new and existing employee training on department techniques, desk review and audit methodologies, policies and procedures.
Provides professional judgement, strategic insight, and guidance to Provider Auditor I and II's using their knowledge, experience, and research to ensure quality control is adequate and minimize risk for the team and organization.
Performs less complex supervisory level reviews and coaches staff with feedback to strengthen their knowledge and skills to perform job functions effectively and efficiently.
Enhances and maintains strong, professional working relationships with providers.
Requires extensive knowledge of documentation requirements from audit testing through preparation of audit workpapers.
Provides training to internal staff and participates in external outreach and education to the provider community.
Must obtain a minimum of 80 CET hours every two years.
Non-Essential Duties and Functions
Other duties as assigned
Minimum Qualifications
Bachelor's degree in Accounting, Business, Finance, or equivalent work experience
3 years' Medicare auditing experience
Knowledge of accounting theory and practices
Proficient in Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint)
Advanced knowledge of Medicare rules, regulations (e.g., Code of Federal Regulations, Provider Reimbursement Manual) to ensure the reimbursement principles are properly applied to the Medicare Cost Report so that Medicare reimbursement is accurate.
Preferred Qualifications
Above requirements and the following:
Bachelor's degree in Accounting, Business or Finance
Excellent written and verbal communication skills
Excellent organizational skills
Ability to coach, advise, and develop others
Demonstrated understanding of industry and enterprise objectives
Excellent presentation skills
Environment and Cognitive/Physical Demands
Office Environment
Ability to read, hear, speak, keyboard, reason, communicate effectively and problem solve
Requires prolonged sitting and telephone use
Requires the use of office equipment such as computer terminals, telephones, copiers and printers
Infrequent lifting to 15 pounds
Infrequent stooping
Segregation of Duties
Every employee is responsible to perform their duties and responsibilities in accordance with Noridian values, policies and procedures, including but not limited to: Segregation of Duties Principles, HIPAA, Security and Privacy, CMS requirements, the Noridian Compliance Program and any other applicable laws, rules and regulations.
Statement of Other Duties
This document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functions. Employees may be requested to perform job related tasks other than those specifically listed in this description and may be required to perform any task requested by the supervisor or management.
Total Rewards Package:
Health, Dental and Vision Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-paid Life Insurance, Education Assistance Program, Paid Sick Leave, Paid Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Severance Package, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, Open Office Setting, and Online Learning System.
CMS Access Compliance and Regulation Contingency Statement
Some positions require compliance with (i) federal and agency specific regulations and related clauses included in Noridian prime contracts with the Government, (ii) background checks, and (iii) eligibility for a government-issued identification card.
Equal Employment Opportunity
Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities as well as Sexual Orientation or Gender Identity.
Below is the salary range for potential new hires.
Salary Range: $59,937.84 - $98,582.59
Other Compensation: Self-Managed PTO (if applicable), Incentive Plan
Lifestyle Benefit: $50/month
This job will be closed 2/09/2024 at 8:00AM CST. No further applications will be considered.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.
Refer to ID 77907096_1 when applying |
|