Audit & Reimbursement III and Senior
Core
Audits Medicare cost reports and Part A reimbursements for federal government contracts, analyzing financial data and provider records to ensure accurate payments.
Role type
Senior IC audit and reimbursement specialist (Medicare)
Builds
Accurate Medicare reimbursements and cost report settlements for federal health programs
Domain
Healthcare administration / Federal government contracting
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Medicare cost report analysis, financial statement interpretation, Government Auditing Standards (GAS), CMS regulations knowledge, complex calculation, work paper preparation, exception request review, appeals management, supervisory review, mentoring
Preferred skills
Accounting degree, CMS computer systems proficiency, MBA, CPA, CIA
Technologies
Microsoft Excel, Microsoft Word, CMS computer systems
Responsibilities
Perform complex cost report audits and desk reviews; Review and settle Medicare Part A reimbursements including interim and final settlements; Manage caseload of Medicare cost report appeals and jurisdictional reviews; Supervise and review work of less experienced associates; Prepare detailed work papers and present findings per CMS requirements; Analyze provider financial documents and trial balances; Participate in special projects and standard operating procedure development.