Audit Manager - Medicare Bad Debt Cost Reporting

Meduit | Driving Revenue Cycle Performance; United States; Presencial; USD 80.000 - 120.000; Jornada completa

Descripción de la vacante

An established industry player is on the lookout for a detail-oriented Audit Manager to enhance their Government Reimbursement Team. In this pivotal role, you will oversee audits related to Medicare Bad Debt Cost Reporting, ensuring compliance with regulations while guiding clients through the audit process. Your expertise in revenue cycle management and Medicare cost reporting will be crucial in helping clients secure appropriate reimbursements. Join a dynamic team dedicated to continuous improvement and excellence in healthcare reimbursement, where your contributions will make a significant impact.

Formación

• 5+ years of experience in healthcare audit with a focus on Medicare.
• In-depth knowledge of Medicare regulations and compliance.

Responsabilidades

• Lead and manage audits related to Medicare Bad Debt and Worksheet S-10.
• Prepare detailed audit findings and reports for clients.

Conocimientos

Medicare Cost Reporting

Revenue Cycle Management

Financial Analysis

Audit Methodologies

Communication Skills

Excel

Educación

Bachelor’s degree in Accounting

Bachelor’s degree in Finance

Bachelor’s degree in Healthcare Administration

Herramientas

EPIC

Meditech

Descripción del empleo

Meduit is seeking a detail-oriented Audit Manager to join our Government Reimbursement Team. The Audit Manager for Medicare Cost Reporting will oversee the planning, execution, and management of audits related to Medicare Bad Debt Cost Reporting for our healthcare clients. This role will ensure compliance with Medicare regulations, policies, and guidelines, as well as manage audit processes to assist our clients in successfully receiving the appropriate Medicare Bad Debt reimbursement due them from the

government. The ideal candidate will have a strong background in revenue cycle management, government payer reimbursement, Medicare cost reporting, and Medicare Administrative Contractor (MAC) audits, specifically in Medicare Bad Debt and Worksheet S-10 reporting.

KEY RESPONSIBILTIES:

• Audit Oversight: Lead, plan, and supervise Meduit audit responses to the Centers for Medicare and Medicaid Services (CMS) audits related to Medicare Bad Debt and Worksheet S-10 Cost Reporting for our healthcare clients, ensuring adherence to all relevant Medicare regulations and policies.
• Compliance Management: Assist clients in ensuring compliance with CMS regulations, especially around Medicare Bad Debt and Worksheet S-10 guidelines, and applicable federal and state regulations. Collaborate with internal team and clients to implement best practices for government payer compliance. Identify discrepancies or areas of concern and recommend corrective actions.
• Audit Planning & Execution: Design internal templates around audit strategies, methodologies, and processes to assist our clients in responding timely, efficiently, and accurately to the cost report audit.
• Report Preparation: Prepare detailed audit findings and reports, outlining discrepancies, providing recommendations for corrective actions, and ensuring that all reports are clear, concise, and well-documented.
• Stakeholder Engagement: Serve as the primary point of contact for our clients as it relates to CMS cost reporting audit processes, providing guidance and support throughout the audit lifecycle.
• Continuous Improvement: Stay current with changes in Medicare policies and guidelines related to Medicare Bad Debt and Worksheet S-10 reporting. Proactively update audit processes and strategies to maintain compliance with evolving regulations.
• Risk Management: Identify and mitigate audit risks by evaluating the effectiveness of our clients’ revenue cycle workflows and internal policies and procedures that directly impact Medicare Bad Debt and S-10 reporting.

QUALIFICATIONS:

• Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field.
• Minimum of 5 years of experience in healthcare audit, finance, or compliance, with a strong focus on Medicare cost reporting and Medicare bad debt audits (required).
• In-depth knowledge of Medicare regulations, including Medicare Bad Debt Cost Reporting guidelines (Medicare Cost Reports, CMS Publication 15.1 Chapter 3, Title 42 Code of Federal Regulations Chapter 4 Part 413 | 42 CFR Section 413, etc.).
• Strong experience with financial analysis, audit methodologies, and healthcare financial systems (EPIC, Meditech, or similar platforms). Familiarity with healthcare provider reimbursement systems (e.g., MACs, CMS portals) is a plus.
• Proven leadership and collaboration skills with experience coordinating audit processes and working cross-functionally with both internal and external stakeholders.
• Excellent communication skills, both written and verbal, with the ability to explain complex audit findings to non-financial stakeholders.
• Strong attention to detail, excellent organizational skills, and the ability to manage multiple projects and client audit requests while simultaneously meeting audit deadlines.
• Must be computer proficient with intermediate to advanced skills with Excel (minimum).
• Ability to interpret CMS regulations, hospital financial data, and payer policies as well as keeping up to date on regulation changes and communicating these with the team and our clients.
• Ability to work independently, solve problems, and make decisions in a fast-paced and dynamic environment.

PREFERRED SKILLS:

• Experience working with Medicare Administrative Contractors (MACs) or CMS auditors.
• Advanced certifications in auditing, compliance, or healthcare management (e.g., CIA, CHC).
• Familiarity with healthcare provider accounting systems and reimbursement

Equal Opportunity Employer
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