Financial Examiner IV

TX-HHSC-DSHS-DFPS•Austin, TX

1d•Hybrid

About The Position

The Financial Examiner IV position serves an integral function within the Provider Finance Department (PFD) by performing highly-complex (senior-level) financial examinations of Medicaid and non-Medicaid cost reports. The examinations are conducted to ensure the accuracy and reasonableness of cost and statistical data that is utilized to support established reimbursement rate methodologies and cost determination for certain Medicaid and non-Medicaid services. As a team member of the PFD Cost Report Review Unit (CRRU), the Financial Examiner IV position conducts financials examinations of cost reports in accordance with the Texas Administrative Code, program specific cost report instructions, generally accepted accounting principles (GAAP), which are those principles approved by the American Institute of Certified Public Accountants (AICPA), and state and federal regulations. Financial examination includes reviewing certain Medicaid and non-Medicaid contracted providers’ submitted cost reports and supporting documentation, which may include the contracted provider’s trial balance, general ledger, allocation worksheets, payroll, and billing reports. The Financial examiner may contact the contracted provider to request clarification and additional information/supporting documentation, as applicable. The examination process involves the following activities: planning, scheduling, coordinating, conducting, and reporting results of the cost report examination. Work is performed with limited supervision and considerable latitude for the use of initiative and independent judgment.

Requirements

Knowledge of Government Auditing Standards (as applicable), Generally Accepted Accounting Principles.
Knowledge of Texas Administrative Code and applicable rules and regulations.
Knowledge of Office management practices, administrative procedures, accounting methods, and accounting systems.
Knowledge of HHSC programs, services, and procedures.
Skill in critical thinking, gathering, analyzing, and making accurate decisions about information.
Skill in numerical, verbal, and written communication, and research.
Skill in MS Office applications; intermediate to advanced skill level with Microsoft Excel.
Ability to conduct financial examinations of cost reports, set priorities, plan, organize, and coordinate work activities.
Ability to maintain effective working relationships with others (teamwork).
Ability to analyze financial records and billing reports to identify problems.
Ability to learn and work on multiple complex projects in a chain, understand cost allocation methods, and application of allocation ratios to different programs.
Ability to interpret and/or implement policies and procedures.
Ability to manage multiple projects effectively and to produce quality work to meet deadlines.
Ability to concentrate for extended time periods on detailed documents or projects.
Minimum of 4 years of experience in financial examinations, financial operations, financial analysis, data analysis, budgeting, accounting, bookkeeping, auditing, Medicaid reimbursement, and/or cost reporting experience.

Nice To Haves

Candidates certified as a CPA, CIA, CGAP, CIGA, CFE, and/or CISA are preferred.
Graduation from an accredited four-year college or university with major course work in accounting, business administration, finance, economics, or a related field is preferred. Relevant accounting or audit experience may be substituted for education on a year-to-year basis.

Responsibilities

Performs complex financial examinations of Medicaid and Non-Medicaid costs and compliance reports submitted by contracted providers, to include financial data, statistical data, and supporting documentation. Financial examinations are completed in accordance with department policies and procedures and within assigned timeframes. (55%)
Manages workload by planning and organizing to ensure that the required number of financial examinations are completed within PFD established deadlines. (25%)
Communicates contracted providers, financial contacts, and/or cost report preparers to request clarifying information or supporting documentation related to highly complex financial and statistical data. Communicate with agency staff or others on the examination process. Prepares and issues reports, correspondence, and deliverables in a timely and accurate manner in accordance with required professional standards. (15%)
Completes additional or special projects as assigned by the Manager or Director. (5%)