Staff Auditor - Medicare

Department Overview

The Audit Department at our subsidiary has associates working remotely in several states with physical offices located in Birmingham, AL. This unit is responsible for work related to audits and appeals for a subset of institutional providers located across the country. The audit sector conducts Medicare audits on provider cost reports to determine payment and calculates the final settlement determination on the audited cost reports.

The audit area also handles cost report appeals and reopenings from various other Medicare contractors, as assigned by the Medicare Administrative Contractors (MACs).

The incumbent will assist with work related to audits and special projects, as well as work related to appeals under direct supervision when assigned. All work must be completed within budget allocations, as well as in a manner that meets or exceeds quality expectations and contracting requirements.

The work related to audits must be performed in accordance with Generally Accepted Accounting Principles (GAAP), Generally Accepted Auditing Standards (GAGAS), governing regulations, issued instructions, and internal policy and procedure manuals. The duties can include any one or more of the following tasks:

• requesting documentation
• completing regulatory research
• performing audit work
• incorporating adjustments
• making recommendations for final settlement

In addition, when appeals work is assigned, the incumbent will perform all work in accordance with all board policies, rules, procedures, time frames, and instructions. The duties can include any one or more of the following tasks:

• drafting preliminary/final position papers
• initiating discovery requests
• handling reopening requests
• completing jurisdictional challenges
• executing administrative resolutions

The incumbent must continuously handle all information, documents, data, and interactions in a secure and confidential manner. Further, the incumbent must perform at all times in a professional manner as a representative of Cahaba Safeguard Administrators (CSA), the government, and other entities.

Over time, the incumbent is expected to develop and apply an appropriate level of knowledge, skills, and understanding of work at the Staff Auditor level in order to meet developmental goals and to be considered for potential promotion.

This position can be filled at a higher level based upon experience.

• Bachelor’s degree in Accounting, Finance, Business Administration, or other job-related field of study with a minimum of 12 semester hours of accounting classes
• Demonstrated computer proficiency including Microsoft Office products, including Excel and Word
• Problem solving, organizational, and time management skills that allow for the prioritization of work to meet time frames, deadlines, and budget/resource requirements
• Experience communicating clearly and effectively in oral and written form
• Strong interpersonal skills and experience maintaining professionalism in all situations
• Experience taking direction to ensure quality and accuracy of the work performed, as well as accepting feedback to improve performance and develop skills
• Experience working independently and contributing as part of a team to complete assigned work
• Prior work experience in the areas of healthcare/audit; or in lieu of specific work experience, possess a basic understanding of the healthcare/audit environment that would form the basis for developing required audit knowledge, skills, and aptitude, is preferred
• Experience comprehending Medicare reimbursement principles, is preferred
• Certified Public Accountant (CPA) is preferred
• This position can be filled at a higher level based upon experience.

The work schedule for this position will be full-time remote. Business areas reserve the right to require associates to return to the office as needed, based on performance or other business considerations. A remote work schedule is subject to amendment or termination at any time by the Company.

By submitting a job application, I attest that all information to the best of my knowledge is true and accurate. Furthermore, I understand that any information provided by me throughout the job application process is subject to verification including, but not limited to work experience, education, assessment (test) and interviews.

We appreciate your interest in 'The Company'. The Company does not discriminate in hiring or employment on the basis of race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetics, status as a disabled or protected veteran, or because of citizenship status in the case of a citizen or intending citizen. No question on this application is intended to secure information to be used for such discrimination.