SouthBendRecruiter
the smart solution for South Bend jobs

Provider Auditor II

Company: Noridian Healthcare Solutions
Location: Chicago
Posted on: November 19, 2018

Job Description:

Requisition Number 18-0893 Post Date 11/12/2018 Title Provider Auditor II - 300149 City All Locations Description Position is eligible for Remote/Work from Home opportunity 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 field audits to ensure proper reimbursement for health care providers for the Medicare programs. Key Performance Indicators Meets CMS standards while maintaining departmental performance expectations Excellent attention to detail Ability to prioritize and multi-task workload FLSA Category: Non-Exempt 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 Provider Auditor II & Senior Provider Auditor with in-house and on-site field audits. Assists Provider Auditor II & Senior Provider Auditor in 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 Requirements Qualifications Minimum Qualifications: Bachelor's degree in Accounting, Business, Finance or equivalent work experience Knowledge of accounting theory and practices Proficient in Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint) 1-year Medicare auditing experience 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: 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 usage Requires the use of office equipment such as computer terminals, telephones, copiers and printers Infrequent lifting up to 15 pounds Infrequent stooping Ability to travel 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 functions. Employees 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 by management. CMS Access Compliance and Regulation Contingency Statement Some positions require compliance with (i) federal and agency-specific regulations and related clauses included in NHS's prime contracts with the Government, (ii) background checks, and (iii) eligibility for a government-issued identification card. 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 review. For positions outside your department, you must attain a minimum of six months of service before you can apply. Equal Employment Opportunity Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity. For questions, please email careersnoridian.com. This job posting will be closed 11/19/2018 at 8:00AM CST. No further applications will be considered.

Keywords: Noridian Healthcare Solutions, South Bend , Provider Auditor II, Accounting, Auditing , Chicago, Indiana

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Accounting, Auditing Jobs


Finance MDM Consultant
Description: Description: br br Health Care Service Corporation, a Mutual Legal Reserve Company HCSC , and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer-owned (more...)
Company: Health Care Service Corporation
Location: Chicago
Posted on: 12/15/2018

Corporate Accountant
Description: CPA needed for Hedge Fund...Key Duties and Responsibilities: Review daily, weekly, and monthly break materials for quality controls and accuracy for client consumption Lead internal sessions with various (more...)
Company: Joseph Michaels International
Location: Chicago
Posted on: 12/15/2018

Financial & Tax Specialist.
Description: Financial Tax Specialist. Good Times Holdings LLC - Financial reports, direct
Company: Good Times Holdings LLC
Location: Chicago
Posted on: 12/15/2018


Freelance Finance Writer for Chime Bank
Description: Job Description: br ul br li Fully concept ideas that bring to live our brand, purpose and products
Company: Chime Bank
Location: Aurora
Posted on: 12/15/2018

Actuary Intern - Summer
Description: Actuary Intern - Summer 2019 USA-Illinois-Chicago Centene provides high-quality, culturally-sensitive healthcare coverage and services to millions of people across the United States and internationally. (more...)
Company: Cenpatico
Location: Chicago
Posted on: 12/15/2018

Corporate Accountant
Description: Ref ID: 01300-0010693894Classification: Accountant - StaffCompensation: DOETo apply for this Corporate Accountant position, email your resume to Click Here to Email Your Resum . In the subject line, (more...)
Company: Robert Half Finance & Accounting
Location: Chicago
Posted on: 12/15/2018

State Farm Insurance and Financial Services Agent - Homewood
Description: We look for people who: br br Want to make a positive difference in people's lives and in their community br Want a career that is both personally and financially rewarding br Have key entrepreneurial (more...)
Company: State Farm
Location: Homewood
Posted on: 12/15/2018

Current College Students - Assurance/Audit Intern
Description: CohnReznick currently has an exciting career opportunity within the Assurance/Audit department in Chicago, IL br br We are looking for Spring Interns to join our team. br br Audit Intern Duties: (more...)
Company: CohnReznick
Location: Chicago
Posted on: 12/15/2018

General Accountant
Description: General Accountant Boldly coloring outside the lines of luxury, W turns the traditional notion of the extravagant hotel on its head. Our irreverent attitude and taste for excess redefine revelry for the (more...)
Company: Marriott
Location: Chicago
Posted on: 12/15/2018

Staff Accountant
Description: Id: EB-8689069157 Location: Schaumburg, IL Job Type: FullTimeRegular RESPONSIBILITIES OF THE SENIOR ACCOUNTANT: br br ul br li Statutory reporting and Property and Casualty insurance accounting (more...)
Company: Creative Financial Staffing
Location: Schaumburg
Posted on: 12/15/2018

Log In or Create An Account

Get the latest Indiana jobs by following @recnetIN on Twitter!

South Bend RSS job feeds