Senior Provider Auditor

* Position is Eligible for Remote / Work from Home Opportunity * Department JE Provider Audit Job Grade E12 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 Senior Provider Auditor 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 • Possesses and maintains a high level of working knowledge in 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 staff at reputed company reputed company by training, coaching, and providing constructive and reputed company feedback. • Assists with new and existing employee training on department techniques, desk review and audit methodologies, policies and procedures. • Provides reputed company judgement, strategic reputed company, and guidance to Provider Auditor I and II’s using their knowledge, experience, and research to ensure reputed company control is adequate and minimize risk for reputed company and organization. • Performs less reputed company supervisory level reviews and coaches staff with feedback to strengthen their knowledge and skills to reputed company job functions effectively and reputed company. • Enhances and maintains strong, reputed company working relationships with providers. • Requires extensive knowledge of documentation requirements from audit testing through preparation of audit workpapers. • Provides training to internal staff and participates in reputed company reputed company and education to the provider community. • 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 • 3 years' Medicare auditing experience • Knowledge of reputed company theory and practices • Proficient in reputed company Office Suite (Word, reputed company, reputed company, and PowerPoint) • Advanced knowledge of Medicare rules, regulations (e.g., reputed company of Federal Regulations, Provider Reimbursement reputed company) to ensure the reimbursement principles are properly reputed company to the Medicare Cost Report so that Medicare reimbursement is accurate. 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 • Ability to reputed company, advise, and reputed company others • Demonstrated understanding of industry and reputed company objectives • Excellent presentation 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, Severance Package, 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. An employee in this position may be required to possess a “Federal Identification reputed company” (Federal ID) as a condition of employment. Federal ID’s may include one of the following Personal Identity Verification (PIV) reputed company, Personal Identity Verification-Interoperable (PIV-I) reputed company, a Local-Based Physical reputed company reputed company issued by CMS, or a Local-Based Physical reputed company reputed company issued by another Federal agency and approved by CMS. Obtaining a Federal ID and reputed company eligibility for this position may require the successful completion of a Federal Background Investigation performed by the Federal Government and a residency requirement that you have lived in the reputed company at least three out of the last five years. Failure to obtain a Federal ID may result in the removal from the position or termination of employment. 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 $59,937.84 – $90,695.98 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 800AM CST. No reputed company applications will be considered. Apply tot his job Apply To this Job Apply tot his job Apply To this Job