Medicaid Audit & Reimbursement Accountant

Myers & Stauffer; Richmond (VA); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid vacation and sick time

Paid holidays

Parental Leave

401K with company match

Tuition reimbursement

Job summary

Myers and Stauffer LC is seeking an experienced audit professional to review Medicaid provider cost reports and analyze healthcare provider financial information. The role involves reimbursement calculations, on-site and desk audits, and research to ensure compliance with Medicaid and government regulations.

The candidate will prepare thorough working papers, maintain PHI confidentiality, and document audit findings following AICPA standards.

Qualifications

• Bachelor’s degree in accounting or related field required.
• Master’s degree in accounting or related field preferred.
• CPA or CPA candidacy strongly preferred."Healthcare auditing and data analysis experience is highly valued.
• Experience reviewing statutory/regulatory or policy language and applying requirements.

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 various 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, research, risk assessment, fieldwork, reporting of findings, and other procedures as required.
• Review applicable Federal and State policies and regulations associated with each audit type.
• 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

Verbal and written communication

Healthcare auditing experience

Data analysis

Microsoft Excel 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 is seeking an experienced audit professional to review Medicaid provider cost reports and analyze healthcare provider financial information. The role involves reimbursement calculations, on-site and desk audits, and research to ensure compliance with Medicaid and government regulations.

The candidate will prepare thorough working papers, maintain PHI confidentiality, and document audit findings following AICPA standards.