Provider Auditor I

Noridian Healthcare Solutions, LLC•Fargo, ND

1d•$22 - $36•Remote

About The Position

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. These positions are the face of Noridian 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 action plans, and prepares/submits reports on the results of audits.

Requirements

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)
Must obtain a minimum of 80 CET hours every two years.

Nice To Haves

Bachelor's degree in Accounting, Business or Finance
Excellent written and verbal communication skills
Excellent organizational skills

Responsibilities

Initiates, plans, conducts, and finalize audits of financial, management, and administrative procedures of assigned cost reports. Responsible for determining appropriate scope and procedures for each individual review.
Analyzes audit program to determine proper procedures are performed based on scope.
Provides independent judgement and decisions regarding reviews and minimizes risk for organization and quality control.
Participates in and facilitates meetings, entrance conferences, walkthroughs and exit conferences with external providers.
Requires ability to develop knowledge of documentation requirements from audit testing through preparation of audit workpapers.
Possesses excellent written and verbal communication skills needed to draft, deliver, and issue corrective action plans for audit adjustment reports to consultants, CPA firms, management and provider executives.
Performs risk analysis on provider financial statements to determine impact of potential risk of Medicare dollars.
Must obtain a minimum of 80 CET hours every two years.
Provides proactive support and process improvement by participating in special projects, documenting work as prescribed by the project.
Collaborates with internal and external customers to determine and distribute requested information and documentation.