Audit Supervisor (Public Service Administrator Opt 2)

State of Illinois•Chicago, IL

About The Position

The Department of Healthcare and Family Services, Office of Inspector General, Bureau of Medicaid Integrity is seeking to hire a highly capable and experienced professional to serve as Audit Supervisor to oversee provider audits. In this capacity, the Audit Supervisor will provide technical guidance and logistical support to the auditors and manage the audits to completion. The Audit Supervisor will be responsible for the quality and accuracy of the audit output through oversight starting with validations that the payment of claims complies with the regulations, feedback to the auditor for any auditing errors, communication to the auditee of discrepancies, and provide support in all audit conferences. This candidate will also be responsible for reviewing data to determine trends and make recommendations for future audits. The ideal candidate will demonstrate a strong foundation in Medicaid policy, medical coding principals, and problem-solving skills to address audits of high complexity. Ideal skills include the ability to exercise sound judgment in the identification of priorities, to work collaboratively with internal and external partners, proactively address issues, and to ensure timely completion of all work. The candidate will exhibit strong leadership skills to achieve set goals while demonstrating independent initiative. Strong written and verbal communication skills are essential to be successful in this role. Employees receive a robust benefit package including:

Requirements

Requires knowledge, skill, and mental development equivalent to completion of (4) four years of college
Requires prior experience equivalent to three (3) years of progressively responsible administrative experience in the fieldsof fiscal management, accounting, budgeting, internal auditing, insurance and/or finance
Requires completion of a background check and self-disclosure of criminal history
Requires ability to travel in the performance of duties, with overnight stays as appropriate
Requires the ability to utilize and maintain state issued equipment such as a laptop
Certification as a medical coder from a national organization such as the American Academy of Professional Coders(AAPC) or American Health Information Management Association (AHIMA)

Nice To Haves

Three (3) years of professional experience reviewing outpatient medical records for compliance with the establishedCurrent Procedural Terminology (CPT) codes for evaluation and management
Three (3) years of professional experience working in a healthcare organization
Three (3) years of professional experience interpreting, enforcing or applying state and federal laws, rules and regulationsconcerning healthcare
Three (3) years of professional experience developing appropriate documentation to support audit work performed
Three (3) years of experience in healthcare auditing preferably in Medicare or Medicaid
Three (3) years of professional experience interpreting healthcare claims data
Three (3) years of professional supervisory experience
Extensive knowledge of medical terminology

Responsibilities

Serves as a full line supervisor
Directs and reviews program integrity auditing activities
Confers with upper-level management
Provides input into contractor and staff meetings and conferences for obtaining goals/objectives
Confers with agency legal staff in preparation of administrative proceedings against Medicaid providers
Conducts unit staff meetings for the purpose of clarifying audit issues and procedures
Performs other duties as required or assigned which are reasonably within the scope of the duties enumeratedabove

Benefits

Monday-Friday work schedule
Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.)
Health, Life, Vision, and Dental Insurance
Pension Plan
Paid Parental Leave
Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
Employees earn (12) paid Sick Days annually.
New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually.
Employees earn (3) paid Personal Days annually.
(13-14) paid holidays annually (based on start date)