External Auditor 1

Ohio Department of Medicaid; Columbus (OH); On-site; USD 33,000 - 47,000; Full time

Job summary

Ohio Department of Medicaid is seeking an External Auditor 1 to join the Provider Compliance unit within Program Integrity. The role involves conducting financial, compliance, and operational audits across provider sites, with travel to sites in Franklin County and Columbus.

The position requires auditing or accounting experience, including at least 18 months of auditing, and may include on-site reviews and reporting on findings to improve compliance and quality of care.

Qualifications

• 3 yrs. exp. in auditing or accounting with 18 mos. auditing exp. as specified by agency requirements.

Responsibilities

• Conducting routine financial, compliance and operational audits
• Operating accounting and auditing software
• Analyzing confidential records in data systems
• Collaborating with BPI reviewers to analyze provider payment claims for fraud, waste and abuse
• Analyzing provider records related to billing and quality of care during on-site reviews
• Preparing audit reports and corrective action recommendations
• Maintaining favorable relations with internal and external customers

Skills

Auditing

Education

Undergraduate coursework in accounting or business

Job description

What You Will Do At ODM

Office: Legal Counsel

Bureau: Program Integrity

Working Title: External Auditor 1 (PN:20042146)

Job Overview

The Ohio Department of Medicaid is seeking a candidate with an interest in auditing to be a part of our Provider Compliance unit. The Provider Compliance unit is part of Program Integrity (BPI) which focuses on fraud, waste and abuse related activities. This position is located in Franklin County and will require travel to provider sites. As an External Auditor 1, your responsibilities will include:

• Conducting routine financial, compliance and operational audits
• Operating accounting and auditing software (e.g. spreadsheets, word processors, databases)
• Analyzing confidential records and information stored in the department’s various data systems
• Working collaboratively with other BPI reviewers and/or ODM professionals to analyze provider payment claims and coding to identify potential of fraud, waste, and abuse
• Analyzing health care providers records related to billing activities and the quality of care when conducting on site reviews
• Preparing audit reports and recommendations for corrective actions plans
• Maintaining favorable relations with internal and external customers

3 yrs. exp. in auditing or accounting which must have included 18 mos. auditing exp. in accordance with auditing standards or in accordance with prescribed management policies &/or procedures as specified on agency position description.

• Or completion of undergraduate core coursework in accounting, business administration, computer science or related field; 12 mos. exp. in auditing or accounting which must have included auditing.
• Or equivalent of Minimum Class Qualifications for Employment noted above.

Job Skills: Auditing

Technical Skills: Auditing; Accounting and Finance

Professional Skills: Attention to Detail, Analyzation, Collaboration, Critical Thinking, Goal Setting, Interpreting Data, Priority Setting, Results Oriented, Verbal Communication, Written Communication

Agency Contact Name and Information

[e-mail]

Work Location

50 W Town St

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

$28.76

Schedule

Full-time

Work Hours

8:00 am - 5:00 pm

Classified Indicator

Classified

Union

OCSEA

Technical Skills

Accounting and Finance, Auditing

Professional Skills

Analyzation, Attention to Detail, Collaboration, Critical Thinking, Goal Setting, Interpreting Data, Priority Setting, Results Oriented, Verbal Communication, Written Communication

Agency Overview

About Us

Investing in opportunities for Ohioans that work for every person and every family in every corner of our state is at the hallmark of Governor DeWine’s agenda for Ohio’s future. To ensure Ohio is “the best place to live, work, raise and family and start a business,” we must have strong schools, a great quality of life, and compassion for those who need our help.

Responsibilities

Ohio Department of Medicaid plays a unique and necessary role in supporting the governor’s vision. As the single state Medicaid agency responsible for administering high-quality, person-centric healthcare, the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served. We do so by:

• Delivering a personalized care experience to more than three million people served.
• Improving care for children and adults with complex behavioral health needs.
• Working collectively with our partners and providers to measurably strengthen wellness and health outcomes.
• Streamlining administrative burdens so doctors and healthcare providers have more time for patient care.
• Ensuring financial transparency and operational accountability across all Medicaid programs and services.