Reimbursement Audi

Aston Carter; United States; Remote; USD 55,000 - 69,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

HSA

PTO / Paid time off

Job summary

Aston Carter is seeking a Reimbursement Auditor for a fully remote contract role based in the United States. The position focuses on Medicare/Medicaid reimbursement audits, cost report reviews, and ensuring accurate, compliant reimbursements across healthcare providers.

Responsibilities include detailed audits, reconciliation of financial records, and documenting findings for state and federal reimbursement programs. Strong Excel skills and experience with CMS cost reporting are required.

Qualifications

• Bachelor's degree or equivalent in accounting/finance/healthcare administration or related field.

Responsibilities

• Perform Medicare and Medicaid reimbursement audits and reviews of hospital/provider cost reports for accuracy and compliance.
• Audit financial documentation and supporting schedules to substantiate reported costs and reimbursements.
• Identify discrepancies and compliance concerns within provider submissions and communicate findings.

Skills

Healthcare reimbursement audits

Cost report audits

Medicare reimbursement

Medicaid reimbursement

Analytical skills

Excel proficiency

Audit documentation

Reconciliations

Education

Bachelor's degree in Accounting, Finance, Healthcare Administration

Associate degree with relevant experience

Tools

CMS-2552-10

Excel

Job description

Reimbursement Auditor

Job Description

This role focuses on performing Medicare and Medicaid reimbursement audits and reviewing hospital and provider cost reports to ensure that healthcare organizations receive accurate and compliant reimbursement. The Reimbursement Auditor reviews underlying financial information and supporting documentation used to substantiate reported healthcare costs, analyzes reimbursement methodologies, and identifies discrepancies and compliance issues as part of a large-scale healthcare reimbursement and cost report review initiative.

Responsibilities

• Perform detailed Medicare and Medicaid reimbursement audits and comprehensive healthcare financial reviews.
• Review and analyze hospital and provider cost reports for accuracy, completeness, and compliance with applicable regulations and guidelines.
• Audit financial documentation and supporting schedules used to substantiate reported healthcare costs and reimbursement amounts.
• Review Medicare cost reports, Medicaid reimbursement calculations, DSH-related information, and supplemental payment calculations based on assigned engagements.
• Identify discrepancies, unsupported costs, reimbursement issues, and potential compliance concerns within provider submissions.
• Analyze provider financial information, expenses, cost allocations, utilization data, and other supporting documentation to validate reported figures.
• Perform reconciliations and validate reported amounts against underlying financial records and source documents.
• Conduct root-cause analysis of reimbursement discrepancies and clearly document audit findings and conclusions.
• Prepare detailed supporting audit workpapers and document conclusions, recommendations, and rationale in a clear and organized manner.
• Communicate audit findings, questions, and requests for additional documentation to healthcare providers and internal project stakeholders in a professional manner.
• Support reviews involving state Medicaid programs, Medicare reimbursement, hospitals, health systems, physician and provider organizations, and healthcare networks.
• Apply knowledge of healthcare reimbursement regulations, methodologies, and cost reporting requirements throughout the audit process.
• Assist with recommendations for process improvements related to reimbursement reporting, audit readiness, and compliance practices.

Essential Skills

• Experience performing healthcare reimbursement audits, cost report audits, or healthcare financial reviews.
• Prior experience with Medicare and/or Medicaid reimbursement.
• Hands‑on knowledge of hospital cost reports and provider reimbursement processes.
• Ability to interpret detailed financial records and supporting documentation.
• Strong analytical skills and proficiency in performing reconciliations.
• Strong attention to detail and ability to identify inconsistencies in large volumes of financial data.
• Advanced proficiency with Excel and financial analysis tools.
• Ability to document audit procedures and findings clearly, accurately, and comprehensively.

Additional Skills & Qualifications

• Bachelors degree in Accounting, Finance, Business, Economics, Healthcare Administration, or a related field, or an associate degree supplemented by relevant experience.
• Experience with Medicare Cost Reports.
• Experience with Medicaid Cost Reports and Medicaid reimbursement methodologies.
• Familiarity with CMS-2552-10 and related cost reporting requirements.
• Experience with DSH (Disproportionate Share Hospital) programs.
• Experience with supplemental payment programs and calculations.
• Background in provider reimbursement and payment methodologies.
• Experience in Medicare and Medicaid audit activities.
• Exposure to healthcare financial review and reimbursement compliance.
• Understanding of revenue cycle processes and claims processing in healthcare settings.

Job Type & Location

This is a Contract position based out of Owings Mills, MD.

Pay and Benefits

The pay range for this position is $40.00 - $50.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your jobclassification and length of employment. Benefits are subject to change and may besubject to specific elections, plan, or program terms. If eligible, the benefitsavailable for this temporary role may include the following:Medical, dental & visionCritical Illness, Accident, and Hospital401(k) Retirement Plan Pre-tax and Roth post-tax contributions availableLife Insurance (Voluntary Life & AD&D for the employee and dependents)Short and long-term disabilityHealth Spending Account (HSA)Transportation benefitsEmployee Assistance ProgramTime Off/Leave (PTO, Vacation or Sick Leave)

Job Type & Location

This is a Contract position based out of Owings Mills, MD.

Application Deadline

This position is anticipated to close on Nov 10, 2026.

Workplace Type

This is a fully remote position.

About Aston Carter

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® Platinum Award winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [e-mail] for other accommodation options.

San Francisco Fair Chance Ordinance

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI)

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.