Cost Report Auditor

Job Summary

Our Cost Report Auditor is responsible for conducting audits and desk reviews of Medicare Cost Reports in accordance with the Centers for Medicare & Medicaid Services (CMS) regulations. They ensure the accuracy and integrity of statistical and financial data submitted by healthcare providers and supports the effective use of U.S. tax dollars in the Medicare program. This auditor plays a key role in upholding government auditing standards and ensuring cost-effective healthcare delivery.

$47,000 - $51,000. The base pay may vary within the posted range based on your job‑related knowledge, skills, and experience.

We are open to remote work in the following approved states:
Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin.

• Complete audits and desk reviews using the Uniform Desk Review/Audit Program, meeting established interim and monthly production goals.
• Prepare audit adjustment reports and complete detailed work papers in alignment with Government Auditing Standards and CMS requirements.
• Analyze financial and statistical data, including expense and revenue figures, to assess reasonableness and compliance with federal regulations.
• Review provider pricing policies to ensure consistency in charge structures and examine statistical data for proper cost allocation.
• Participate in work groups focused on improving work paper guidelines, auditing techniques, and documentation standards.
• Communicate with providers providing explanations and supporting documentation and applicable regulations to support audit findings and reimbursement decisions.

• Thrives in a fast‑paced, deadline‑driven environment.
• Is extremely detail‑oriented and can identify inaccuracies easily.
• Feels comfortable defending decisions with data and facts.
• Excel at math and problem solving.
• Values a work environment with strong work‑life balance and flexible hours.
• Interested in working remotely from home.

• Bachelor’s degree in Accounting, Finance, Business Administration, or related field, or equivalent post‑high‑school education and/or work experience.
• Strong analytical and decision‑making skills.
• Exceptional organizational skills with a high degree of attention to detail.
• Strong verbal and written communication skills.
• Solid knowledge and experience with Microsoft Excel.

• Knowledge of CMS Medicare Cost Reporting requirements and Government Auditing Standards.
• Experience with audit methodologies, financial analysis, and regulatory compliance.

• Wired (ethernet cable) internet connection from router to computer.
• High‑speed cable or fiber internet.
• Minimum 10 Mbps downstream and at least 1 Mbps upstream internet connection.
• Review Remote Worker FAQs for additional information.

• Remote and hybrid work options available.
• Performance bonus and/or merit increase opportunities.
• 401(k) with a 100% match for the first 3% of salary and 50% match for the next 2% of salary (100% vested immediately).
• Competitive paid time off.
• Health insurance, dental insurance, and telehealth services start DAY 1.
• Professional and Leadership Development Programs.
• Review additional benefits:

This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). The role is subject to all applicable federal regulations, CMS contract requirements, and internal policies, including standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation including fingerprinting prior to access to protected information.

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, review the Know Your Rights notice from the Department of Labor.