Provider Audit and Reimbursement - Lead Auditor (CMS)

American Recruiting & Consulting Group; Jacksonville (FL); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare auditing organization is seeking an experienced auditor for a fully remote position. The role involves overseeing audit teams, analyzing Medicare cost reports, and ensuring compliance with CMS standards. Candidates should possess strong leadership and communication skills, along with relevant auditing experience. This opportunity offers flexibility, career growth, and a competitive salary package.

Benefits

Flexible hours

Career growth opportunities

Competitive salary and benefits package

Qualifications

• Minimum 2.5 to 3 years of Medicare cost report auditing experience.
• Proven ability to perform Uniform Desk Reviews (UDR) and complex hospital audits.

Responsibilities

• Oversee daily workload of the audit team and mentor junior auditors.
• Analyze working papers and cost reports for accuracy and compliance.
• Conduct audits independently and present findings to providers.

Skills

Leadership

Communication

Attention to Detail

Education

Bachelor’s degree in auditing, accounting, analytics, or finance

Job description

Employer Industry: Healthcare Auditing

Why consider this job opportunity:
- 100% remote work opportunity with flexible hours
- Direct hire full-time position with a reputable organization
- Opportunity for career growth and professional development
- Engage in meaningful work by auditing Medicare cost reports and influencing provider reimbursement
- Competitive salary and benefits package

What to Expect (Job Responsibilities):
- Oversee the daily workload of the audit team and mentor less experienced auditors
- Analyze working papers and cost reports for accuracy and compliance with CMS standards
- Review and approve disbursement of tentative cost settlements in accordance with regulations
- Conduct audits independently and present findings to providers
- Manage and implement an internal quality control program alongside the Internal Quality Control department

What is Required (Qualifications):
- Bachelor’s degree or equivalent experience in auditing, accounting, analytics, or finance
- Minimum of 2.5 to 3 years of Medicare cost report auditing experience
- Proven ability to perform Uniform Desk Reviews (UDR) and complex hospital audits
- Strong leadership skills and experience mentoring junior auditors
- Excellent oral and written communication skills, with attention to detail

How to Stand Out (Preferred Qualifications):
- 3 to 4 years of Medicare cost report auditing experience
- Experience conducting reviews of Nursing & Allied Health Education (NAHE) and Organ Acquisition costs
- Demonstrated ability to independently prepare workpapers according to CMS standards

#HealthcareAuditing #RemoteWork #CareerGrowth #MedicareCompliance #QualityControl

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