Hybrid Medicaid Audit & Analytics Accountant

Myers and Stauffer

Raleigh (NC)

Hybrid

USD 65,000 - 95,000

Full time

10 days ago
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Benefits offered by this job

Health Insurance
401K with company matching
Tuition reimbursement
Parental Leave

Job summary

Myers and Stauffer LC in Raleigh, NC seeks an experienced healthcare auditor to support Medicaid provider cost review and reimbursement analysis. You will perform reviews, analyze financial data, and prepare documentation to support professional decisions.

The role involves on-site and hybrid work as needed, conducting audits from planning through reporting, and ensuring regulatory compliance across federal and state Medicaid programs.

Qualifications

  • Bachelor's degree in accounting or related field.
  • CPA or CPA candidate preferred.
  • Experience in health care auditing and data analysis.
  • Ability to review statutory/regulatory or other policy language and apply requirements.
  • Strong analytical and problem solving skills.
  • Strong verbal and written communication skills.
  • Well organized with a high degree of accuracy and attention to detail.
  • Effectively multi-task with planning and efficiency.
  • Proficient use of Microsoft Office Applications (Excel, Word).

Responsibilities

  • Perform reviews of Medicaid provider cost reports.
  • Analyze health care provider financial information.
  • Perform reimbursement calculations.
  • Prepare written documents supporting professional decisions.
  • Conduct desk reviews and on-site audits.
  • Conduct research to determine billing and reimbursement compliance with Medicaid or other government program regulations.
  • Conduct all phases of the audit including planning and research, risk assessment, fieldwork, reporting of findings, and other procedures as required.
  • Review applicable Federal and State policies and regulations associated with each specific audit type prior to performing the audit.
  • Prepare working papers to document scope and findings of audit in accordance with Medicaid or other government program regulations and AICPA standards.
  • Demonstrate excellence in communication skills, data gathering, analysis, reporting, and process improvement.
  • Maintain security and confidentiality of all protected health information when analyzing material.
  • Maintain thorough electronic documentation.
  • Additional responsibilities as assigned.

Skills

Analytical thinking
Communication skills
Time management
Attention to detail
Microsoft Office proficiency

Education

Bachelor's degree in accounting or related field
Master's degree in accounting or related field
CPA or CPA candidate

Tools

Microsoft Excel
Microsoft Word

Job description

Myers and Stauffer LC in Raleigh, NC seeks an experienced healthcare auditor to support Medicaid provider cost review and reimbursement analysis. You will perform reviews, analyze financial data, and prepare documentation to support professional decisions.

The role involves on-site and hybrid work as needed, conducting audits from planning through reporting, and ensuring regulatory compliance across federal and state Medicaid programs.

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