Provider Auditor I

Noridian Healthcare Solutions, LLC; Fargo (ND); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare provider is seeking a Provider Auditor I to conduct comprehensive audits and ensure compliance with CMS standards. This entry-level position requires a Bachelor's degree in Accounting or related fields and offers remote work flexibility. The successful candidate will play a key role in auditing processes and will be the primary contact for providers during audits, necessitating strong analytical and communication skills.

Benefits

Health, Dental and Vision Insurance

401k with Company Match

Education Assistance Program

Paid Holidays

Increasing PTO Accrual

Qualifications

• Bachelor's degree or equivalent experience.
• Knowledge of accounting theory and practices.
• Proficiency in Microsoft Office Suite.

Responsibilities

• Conduct audits of financial, management, and administrative procedures.
• Develop knowledge of audit documentation requirements.
• Draft and issue corrective action plans for audit reports.

Skills

Analytical Skills

Communication Skills

Organizational Skills

Education

Bachelor's degree in Accounting, Business, Finance

Tools

Microsoft Office Suite

Job description

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*Position is eligible for Remote / Work from Home opportunity*

Department: Provider Audit

Job Grade: N15

As a condition of employment physical work location must be in one of the 50 states or the District of Columbia.

Notice of Collection & Privacy Policy for Applicants Residing in California: California Applicant Privacy Policy | Noridian (noridiansolutions.com)

Job Title

Provider Auditor I

Job Summary

The Provider Auditor is responsible for conducting Centers for Medicare & Medicaid Services (CMS) and other financial analysis, limited and full desk reviews, and in-house and on-site field audits to ensure proper reimbursement for health care providers for the Medicare programs. These positions are the face of Noridian interacting with providers/facilities management through the audit process which requires an advanced level of professionalism. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits.

Essential Functions

Key Duties/Responsibilities/Accountabilities

• Initiates, plans, conducts, and finalize audits of financial, management, and administrative procedures of assigned cost reports. Responsible for determining appropriate scope and procedures for each individual review. Analyzes audit program to determine proper procedures are performed based on scope.
• Provides independent judgement and decisions regarding reviews and minimizes risk for organization and quality control.
• Participates in and facilitates meetings, entrance conferences, walkthroughs and exit conferences with external providers.
• Requires ability to develop knowledge of documentation requirements from audit testing through preparation of audit workpapers.
• Possesses excellent written and verbal communication skills needed to draft, deliver, and issue corrective action plans for audit adjustment reports to consultants, CPA firms, management and provider executives.
• Performs risk analysis on provider financial statements to determine impact of potential risk of Medicare dollars.
• Must obtain a minimum of 80 CET hours every two years.
• Provides proactive support and process improvement by participating in special projects, documenting work as prescribed by the project. Collaborates with internal and external customers to determine and distribute requested information and documentation.
  
  
  

Non-Essential Duties And Functions

• Other duties as assigned
  
  
  

Minimum Qualifications

• Bachelor's degree in Accounting, Business, Finance or equivalent work experience
• Knowledge of accounting theory and practices
• Proficient in Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint)
  
  
  

Preferred Qualifications

Above requirements and the following:

• Bachelor's degree in Accounting, Business or Finance
• Excellent written and verbal communication skills
• Excellent organizational skills
  
  
  

Environment and Cognitive/Physical Demands

• Office Environment
• Ability to read, hear, speak, keyboard, reason, communicate effectively and problem solve
• Requires prolonged sitting and telephone use
• Requires the use of office equipment such as computer terminals, telephones, copiers and printers
• Infrequent lifting to 15 pounds
• Infrequent stooping
  
  
  

Segregation of Duties

Every employee is responsible to perform their duties and responsibilities in accordance with Noridian values, policies and procedures, including but not limited to: Segregation of Duties Principles, HIPAA, Security and Privacy, CMS requirements, the Noridian Compliance Program and any other applicable laws, rules and regulations.

Statement Of Other Duties

This document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functions. Employees may be requested to perform job related tasks other than those specifically listed in this description and may be required to perform any task requested by the supervisor or management.

Total Rewards Package:

Health, Dental and Vision Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-paid Life Insurance, Education Assistance Program, Paid Sick Leave, Paid Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Severance Package, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, Open Office Setting, and Online Learning System.

CMS Access Compliance and Regulation Contingency Statement

Some positions require compliance with (i) federal, and agency specific regulations and related clauses included in Noridian prime contracts with the Government, (ii) background checks, and (iii) eligibility for a government-issued identification card.

An employee in this position may be required to possess a “Federal Identification Card” (Federal ID) as a condition of employment. Federal ID’s may include one of the following: Personal Identity Verification (PIV) card, Personal Identity Verification-Interoperable (PIV-I) card, a Local-Based Physical Access Card issued by CMS, or a Local-Based Physical Access Card issued by another Federal agency and approved by CMS. Obtaining a Federal ID and continued eligibility for this position may require the successful completion of a Federal Background Investigation performed by the Federal Government and a residency requirement that you have lived in the United States at least three out of the last five years. Failure to obtain a Federal ID may result in the removal from the position or termination of employment.

Equal Employment Opportunity

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Below is the salary range for potential new hires.

Salary Range: The pay range for this position is $21.91 – $36.04 per hour, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Other Compensation: Incentive Plan & Lifestyle Benefit

This job will be closed 06/09/2025 at 8:00AM CST. No further applications will be considered.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing and Finance

• Industries

  Hospitals and Health Care

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