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 reimbursement settlements and cost report acceptances for federal programs
Domain
Healthcare administration / Federal government contracting
Required skills
Medicare cost report analysis, financial statement interpretation, Government Auditing Standards (GAS), CMS regulations, exception request review, appeals management, supervisory review
Preferred skills
Accounting degree, CMS computer systems, Microsoft Excel, CPA/CIA/MBA, jurisdictional reviews, PRRB hearings
Technologies
CMS systems, Microsoft Office
Responsibilities
Perform complex cost report audits and desk reviews; Review and settle Medicare Part A reimbursements; Manage caseload of Medicare cost report appeals; Supervise and mentor less experienced associates; Prepare detailed work papers and present findings per GAS and CMS requirements; Participate in special projects and workgroup initiatives to enhance quality and efficiency.
