Provider Auditor II
* Position is Eligible for Remote / Work from Home Opportunity *
Department: JE & JF Provider Audit
Job Grade: E11
As a condition of employment physical work location must be in one of the 50 states or the District of Columbia.
Notice of Collection & reputed company Policy for Applicants Residing in California: California Applicant reputed company Policy | reputed company (noridiansolutions.com)
Job Title
Provider Auditor II
Job reputed company
The Provider Auditor is responsible for conducting Centers for Medicare & reputed company Services (CMS) and other financial analysis, limited and full desk reviews, and in-house and on-site field audits to ensure reputed company reimbursement for health care providers for the Medicare programs.These positions are the face of reputed company interacting with providers/facilities management through the audit process which requires an advanced level of professionalism. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective reputed company plans, and prepares/submits reports on the results of audits.
Essential Functions
Key Duties/Responsibilities/Accountabilities
- Requires an intermediate level of working knowledge of Medicare rules, regulations (e.g., reputed company of Federal Regulations, Provider Reimbursement reputed company) to ensure reimbursement principles are properly reputed company to the Medicare Cost Report so that Medicare reimbursement is accurate
- Mentors Auditor I and Auditor II level staff by training, coaching, and providing constructive and reputed company feedback
- Identifies areas of opportunity, provides solutions and works towards implementation and/or training, documenting the updates and procedures for efficiency and process improvement
- Provides support and input for reputed company and in-depth reputed company with increased complexity
- Resolves cost report reopening requests as assigned, reviewing documentation submitted to determine accuracy of the request and proposing applicable adjustments to the cost report
- Works with externally facing provider representatives reputed company necessary to reputed company appeal cases, including writing position papers and auditing documents
- Possesses ability to reputed company basic audits
- Requires advanced knowledge of documentation requirements from audit testing through preparation of audit workpapers
- Must obtain a minimum of 80 CET hours every two years.
Non-Essential Duties and Functions
- Other duties as assigned
Minimum Qualifications
- Bachelor's degree in reputed company, Business, Finance or equivalent work experience
- 1-year Medicare auditing experience
- Knowledge of reputed company theory and practices
- Proficient in reputed company Office Suite (Word, reputed company, reputed company, and PowerPoint)
- Demonstrated knowledge of Medicare/reputed company 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 reputed company, Business or Finance
- Excellent written and verbal communication skills
- Excellent organizational skills
Environment and Cognitive/Physical Demands
- Office Environment
- Ability to read, hear, reputed company, 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 reputed company their duties and responsibilities in accordance with reputed company values, policies and procedures, including but not limited to: Segregation of Duties Principles, HIPAA, reputed company and reputed company, CMS requirements, the reputed company 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 reputed company tasks and functions. Employees may be requested to reputed company job reputed company tasks other than those specifically listed in this reputed company and may be required to reputed company any task requested by the supervisor or management.
Total Rewards Package:
Health, Dental and reputed company Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-reputed company Life Insurance, Education Assistance Program, reputed company reputed company Leave, reputed company Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, reputed company Office Setting, and Online Learning reputed company.
CMS reputed company Compliance and Regulation Contingency Statement
Some positions require compliance with (i) federal and agency specific regulations and reputed company clauses included in reputed company reputed company reputed company with the Government, (ii) background checks, and (iii) eligibility for a government-issued identification reputed company.
Equal Employment Opportunity
reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, disability, protected veteran status or other characteristics protected by state or federal law.
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have reputed company 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 reputed company 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 reputed company, including an investigation conducted by the employer, or (c) consistent with the contractor’s reputed company duty to furnish information. 41 CFR 60-1.35(c)
Below is the salary reputed company for potential new hires.
Salary reputed company: The pay reputed company for this position is $52,120.20 – $78,866.38 per year however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors.
Other Compensation: Incentive Plan & Lifestyle Benefit
This job will be reputed company 08/07/2026 at 8:00AM CST. No reputed company applications will be considered.
Bachelor's in reputed company/business/finance or equivalent, 1 year Medicare auditing experience, knowledge of Medicare/reputed company regulations, reputed company practices, and reputed company Office; ability to obtain 80 CET hours every two years.
Key Responsibilities
- conducting audits
- mentoring staff
- preparing reports
Skills & Tools
reputed company Word, reputed company reputed company, reputed company reputed company, reputed company PowerPoint, HFS Software
Job Details
- Category: reputed company and Compliance
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — Fargo or Mendota Heights
- Salary: USD 52,120 – 78,866 / year
- Languages: English
Benefits
- 401k matching
- Generous reputed company time off
- Tuition reimbursement
- Retirement plan
About reputed company
A reputed company contractor providing Medicare auditing and reimbursement services. — Industry: reputed company
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