Medicare Auditor

Ascendo Resources, LLC; Jacksonville (FL); Remote; USD 55,000 - 75,000; Full time

Job summary

Ascendo Resources, LLC is seeking a detail-oriented Medicare Auditor for our healthcare client. The role involves reviewing Medicare cost reports, PS&R data, and reimbursement adjustments while learning Medicare regulations.

The ideal candidate has a Bachelor's in Accounting/Finance with strong analytical skills and the ability to work remotely and meet deadlines. Training on cost reporting will be provided.

Qualifications

• Bachelor's degree in Accounting, Finance, Auditing, Business Analytics, or related field.
• Strong analytical, problem-solving, and organizational skills.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Office, including Excel, Word, Outlook, and PowerPoint.

Responsibilities

• Review and analyze Medicare cost reports for hospitals, SNFs, dialysis centers, and other providers.
• Evaluate PS&R reports to ensure accurate Medicare reimbursement calculations.
• Review bad debt documentation, pass-through costs, and adjustments for accuracy.
• Conduct desk reviews of Medicare cost reports per guidelines and regulations.
• Prepare and maintain audit documentation, correspondence, checklists, and final cost report packages.
• Collaborate with senior auditors and audit teams to support complex healthcare provider audits.
• Communicate with providers to request documentation and address audit findings.
• Identify reimbursement discrepancies and recommend adjustments.
• Assist with Medicare reporting systems and process improvement initiatives.
• Ensure all audit activities comply with Medicare regulations and procedures.

Skills

Analytical skills

Attention to detail

Communication skills

Education

Bachelor's degree in Accounting/Finance

Tools

Microsoft Office (Excel, Word, Outlook, PowerPoint)

Job description

This is a perfect role for a fresh college graduate to apply to! If you have a Bachelors Degree in Accounting and/or Finance, our client will teach you all you need to know!

We are seeking a detail-oriented and analytical Medicare Auditor to support healthcare provider auditing and reimbursement activities. This individual will be responsible for reviewing Medicare cost reports, analyzing reimbursement data, conducting audits, and ensuring compliance with Medicare regulations and reimbursement guidelines.

The ideal candidate will have strong analytical skills, excellent attention to detail, and a background in accounting, auditing, finance, or healthcare reimbursement.

Key Responsibilities

• Review and analyze Medicare cost reports for hospitals, skilled nursing facilities, dialysis centers, and other healthcare providers.
• Evaluate Provider Statistical and Reimbursement (PS&R) reports to ensure accurate Medicare reimbursement calculations and settlements.
• Review bad debt documentation, pass-through costs, and reimbursement adjustments for accuracy and compliance.
• Conduct limited and full desk reviews of Medicare cost reports in accordance with established guidelines and regulations.
• Prepare and maintain audit documentation, correspondence, checklists, and final cost report packages.
• Collaborate with senior auditors and audit teams to support complex healthcare provider audits.
• Communicate with healthcare providers to request documentation, clarify discrepancies, and address audit findings.
• Identify potential reimbursement discrepancies and recommend appropriate adjustments.
• Assist with Medicare reporting systems, special projects, and process improvement initiatives.
• Ensure all audit activities comply with applicable Medicare regulations, policies, and procedures.

Qualifications

• Bachelor's degree in Accounting, Finance, Auditing, Business Analytics, or a related field, or an equivalent combination of education and experience.
• Strong analytical, problem-solving, and organizational skills.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Office, including Excel, Word, Outlook, and PowerPoint.
• Ability to review and interpret complex financial information and supporting documentation.
• Strong attention to detail with the ability to manage multiple priorities and deadlines.
• Ability to work independently and collaboratively in a remote environment.
• Must be able to meet applicable federal background screening and identity verification requirements.

Preferred Qualifications

• Experience with Medicare cost reporting, healthcare reimbursement, or provider auditing.
• Familiarity with Centers for Medicare & Medicaid Services (CMS) regulations and reimbursement guidelines.
• Experience reviewing hospital or other healthcare provider financial records.
• Knowledge of Medicare Provider Statistical and Reimbursement (PS&R) reports.
• Previous experience in healthcare accounting, financial auditing, or regulatory compliance.

Ascendo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.