Remote Medicare/Medicaid Reimbursement Auditor

Talentify; Owings Mills (MD); Remote; USD 55,000 - 69,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Disability insurance

Health Savings Account (HSA)

Paid time off

Job summary

Aston Carter is recruiting for a Reimbursement Auditor position with a focus on Medicare and Medicaid audits and cost reports for healthcare providers. The role involves reviewing cost reports, validating supporting documentation, and ensuring compliance with applicable regulations.

The ideal candidate will have strong analytical skills, experience with Medicare/Medicaid reimbursements, and proficiency in Excel.

Qualifications

• Bachelor's degree in Accounting, Finance, Business, Economics, Healthcare Administration, or related field required.
• Experience with Medicare Cost Reports required.
• Experience with Medicaid Cost Reports and reimbursement methodologies.
• Familiarity with CMS-2552-10 and related cost reporting requirements.

Responsibilities

• Perform detailed Medicare and Medicaid reimbursement audits and comprehensive healthcare financial reviews.
• Review hospital and provider cost reports for accuracy, completeness, and regulatory compliance.
• Audit financial documentation and supporting schedules used to substantiate costs and reimbursement amounts.
• Conduct root-cause analysis of reimbursement discrepancies and document audit conclusions.
• Prepare detailed audit workpapers and clearly document conclusions and recommendations.
• Communicate audit findings and requests for documentation to providers and stakeholders.

Skills

Medicare/Medicaid auditing

Financial analysis

Reconciliation

Attention to detail

Root-cause analysis

Documentation

Communication

Education

Bachelor's degree in Accounting, Finance, Business, Economics, Healthcare Administration, or related field

Associate degree + relevant experience

Tools

Excel

Job description

Aston Carter is recruiting for a Reimbursement Auditor position with a focus on Medicare and Medicaid audits and cost reports for healthcare providers. The role involves reviewing cost reports, validating supporting documentation, and ensuring compliance with applicable regulations.

The ideal candidate will have strong analytical skills, experience with Medicare/Medicaid reimbursements, and proficiency in Excel.