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Medicare Cost Report Auditor III

Job in Waukegan, Lake County, Illinois, 60087, USA
Listing for: BlueCross BlueShield of South Carolina
Full Time position
Listed on 2026-06-21
Job specializations:
  • Finance & Banking
    Financial Compliance, Auditor Accountant, Financial Reporting, Accounting & Finance
Salary/Wage Range or Industry Benchmark: 57790 - 84089 USD Yearly USD 57790.00 84089.00 YEAR
Job Description & How to Apply Below

Summary

Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources.

What You'll Do
  • Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. Identifies, documents, and evaluates business risks. Develops written audit programs. Conducts testing and analysis of existing controls to determine adequacy and effectiveness. Prepares written work papers to document testing results and conclusions reached. Documents issues, the causes of those issues, and their effects on the process/function and the corporation.

    Serves as Lead Auditor on more complex audit assignments.
  • Drafts recommendations to limit risks and improve processes, functions and activities. Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions and recommendations. Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non‑compliance with laws, regulations, and management policies. Conducts testing of corrective actions as identified.
  • Develops detailed reports on each audit conducted. Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. Examine and evaluate financial and information systems, recommending controls to ensure system reliability and data integrity.
  • Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. Prepares reports of findings and recommendations for management.
  • Provides training to and assists or leads other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.
  • Strives to expand knowledge of applicable laws, regulations, program instructions, and technology through self‑study, corporate offerings, and formal training programs.
What You'll Need

Required

Education:

Bachelor's in a job related field.

Required Experience: 5 years auditing experience.

Required

Skills and Abilities:

  • Knowledge of the principles and practices of auditing.
  • Ability to analyze and determine the applicability of financial data, to draw conclusions and make appropriate recommendations.
  • Ability to gather information by examining records and documents and to interview individuals concerning those records.
  • Strong interpersonal skills and the ability to work professionally with persons at all levels, and to maintain effective working relationships.
  • Ability to communicate clearly and effectively in oral and written form.
  • Ability to handle sensitive matters on a confidential basis.
  • Excellent analytical or critical thinking and problem‑solving capabilities.

Required Software and Tools: Microsoft Office.

Preferred Education: Bachelors in Accounting/Finance or 12 credit hours.

Preferred Experience
  • Lead auditor for Uniform Desk Reviews (UDRs) and complex hospital audits
  • Minimum 2 years of Medicare hospital cost report auditing experience
  • Expertise in Medicare Bad Debt and DSH cost report reviews, including sample selection and CMS‑compliant testing
  • Skilled in Nursing and Allied Health Education (NAHE) legal operator determinations and add‑on payment calculations
Preferred Licenses and Certificates

Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certified Information Systems Auditor (CISA).

Work Environment

Typical office environment. Travel between office buildings and out of town may be required.

Our Comprehensive Benefits Package Includes
  • Subsidized health plans, dental and vision coverage
  • 401k retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • On‑site cafeterias and fitness centers in major locations
  • Education Assistance
  • Service Recognition
  • National discounts to movies, theaters, zoos, theme parks and more
Salary Range

Range Minimum $57,790.00

Range Midpoint $84,089.00

Range Maximum $

Equal Employment…
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