Medicaid Audit & Reimbursement Specialist

Myers & Stauffer; Tallahassee (FL); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Health, Dental, and Vision insurance

Vacation time and sick time

Paid holidays

401K with company matching

Tuition reimbursement

Job summary

Myers and Stauffer LC in Florida seeks a qualified auditor to join our health care auditing team. You will review Medicaid provider cost reports, analyze financial information, perform reimbursement calculations, and document findings to support professional decisions.

The role involves desk reviews, on-site audits, and research into billing regulations, with responsibilities spanning planning, risk assessment, fieldwork, and reporting. Travel may be required.

Qualifications

• Bachelor’s degree in accounting or related field.
• Master’s degree in accounting or related field preferred.
• CPA or CPA candidate preferred.
• 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.
• 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.
• Research billing and reimbursement 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

Attention to detail

Multi-tasking

Time management

MS Office

Education

Bachelor’s degree in accounting or related field

Master’s degree in accounting or related field

CPA or CPA candidate

Tools

MS Excel

Word

Job description

Myers and Stauffer LC in Florida seeks a qualified auditor to join our health care auditing team. You will review Medicaid provider cost reports, analyze financial information, perform reimbursement calculations, and document findings to support professional decisions.

The role involves desk reviews, on-site audits, and research into billing regulations, with responsibilities spanning planning, risk assessment, fieldwork, and reporting. Travel may be required.