Job details
Salary $58,192 - $95,711 a year job type full-time
Full job description
* position is eligible for remote / work from home opportunity *
Department: provider audit - cost report appeals
Telecommuting: yes
Paygrade: e12
Job title
Senior provider auditor-cost report appeals
Job summary
The provider auditor is responsible for conducting centers for medicare & medicaid services (cms) and other financial analysis, specializing in cost report appeals, 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 cost report appeal process
Enhances and maintains strong, professional working relationship with providers
Possesses and maintains a high 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
Provides strategic insight and guidance to provider auditors using their knowledge, experience, and research
Provides independent judgement and decisions regarding reviews and minimizes risk for the organization by providing quality control
May lead smaller projects
May conduct reviews for smaller engagements
May serve as team lead to ensure projects completed on time, on scope, and on budget
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/medicaid reimbursement principles and 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
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 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: $58,192.08 – $95,711.25
Other compensation: incentive plan
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 10/19/2021 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)
