Job details
Salary $21.27 - $34.99 an hour job type full-time
Full job description
* position is eligible for remote / work from home opportunity *
Job title
Provider auditor ii
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 audits to ensure proper reimbursement for health care providers for the medicare programs.
Essential functions
Key duties/responsibilities/accountabilities
Develops a working knowledge of medicare reimbursement principles and the medicare cost report
Participates in the planning, organizing, and coordinating of the desk review process
Assists senior provider auditor with in-house and on-site field audits
Assists senior provider auditor with calculating limits and exceptions and completing wage index desk reviews
Develops and maintains a positive working relationship with providers
Possesses an intermediate level of working knowledge of medicare reimbursement principles and the medicare cost report
Identifies areas of opportunity and provides solutions for efficiency and process improvement
Provides support and input for specialized and in-depth projects with increased complexity
Handles cost report re-openings and appeals
May lead basic in-house and on-site field audits
Non-essential duties and functions
Other duties as assigned
Minimum qualifications
Bachelor`s degree in accounting, business, finance or equivalent work experience
1-year medicare auditing experience
Knowledge of accounting theory and practices
Proficient in microsoft office suite (word, excel, outlook, and powerpoint)
Demonstrated knowledge of medicare/medicaid regulations, health care terminology, and various software packages and applications such as medicare cost report software (hfs software)
Preferred qualifications
Above requirements and the following:
Bachelor`s degree in accounting, business or finance
Excellent written and verbal communication skills
Excellent organizational 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 functionsEmployees 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.
Notice to colorado applicants:
Per colorado’s equal pay transparency rules act, below is the salary range for potential new hires that will be working/residing in the state of colorado.
Colorado salary range: $21.2749 – $34.9916
Other compensation: iip
Other information
Job posting policy 6.05: new employees with noridian healthcare solutions will be eligible to apply for positions within their assigned department after successfully completing a 90-day reviewFor positions outside their department, they must attain a minimum of six months of service before they can apply.
This job will be closed 10/18/2021 at 8:00am cstNo 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 applicantHowever, 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 information41 cfr 60-1.35(c)
