Medicaid Audit & Reimbursement Specialist

Myers & Stauffer; Austin (TX); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Vacation time and paid holidays

401K with company matching

Tuition reimbursement

Mentor program

Professional development opportunities

Job summary

Myers and Stauffer LC in Austin is seeking an experienced healthcare auditor to review Medicaid provider cost reports, perform reimbursement calculations, and prepare documentation supporting professional decisions.

You will conduct on-site and desk audits, analyze financial information, and ensure compliance with Medicaid regulations and AICPA standards. Strong communication and data-analysis skills are essential for success.

Qualifications

• Bachelor’s degree in accounting or related field.
• Master’s degree in accounting or related field.
• CPA or CPA candidate.
• Internship or equivalent working experience in accounting or related field.
• Experience with 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.
• Must be able to manage multiple deadlines and prioritize assignments.
• Proficient use of Microsoft Office Applications (Excel, Word, etc.).
• Ability to travel based on client and business needs.

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 in order to determine billing and reimbursement compliance with relevant 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 skills

Communication skills

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 Austin is seeking an experienced healthcare auditor to review Medicaid provider cost reports, perform reimbursement calculations, and prepare documentation supporting professional decisions.

You will conduct on-site and desk audits, analyze financial information, and ensure compliance with Medicaid regulations and AICPA standards. Strong communication and data-analysis skills are essential for success.