Audit & Reimbursement III and Senior
Core
Conducting complex audits and financial analysis of Medicare cost reports and Part A reimbursements for federal government contracts.
Role type
Senior IC audit and reimbursement specialist (Medicare)
Builds
Accurate Medicare reimbursements and compliant cost report settlements for federal programs
Domain
Healthcare administration / Federal Medicare compliance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medicare cost report analysis, Government Auditing Standards (GAS), financial statement interpretation, exception request review, regulatory compliance, data analysis, work paper preparation
Preferred skills
Accounting degree, CMS program regulations knowledge, cost report format expertise, Microsoft Excel/Word proficiency, MBA/CPA/CIA/CFE certification, leadership experience
Technologies
CMS computer systems, Microsoft Office Word, Microsoft Office Excel
Responsibilities
Perform complex cost report audits and desk reviews, supervise and review work of junior associates, manage Medicare appeals caseload, prepare position papers and jurisdictional reviews, analyze provider financial data and trial balances, maintain accurate audit logs and case files
Seniority
Senior, hands-on IC with supervisory review duties