Remote Provider Auditor II – Medicare Compliance

Noridian Healthcare Solutions; Fargo (ND); On-site; USD 52,000 - 79,000; Full time

Benefits offered by this job

Health, Dental and Vision Insurance

401k and Company Match

Education Assistance Program

Paid Holidays

Job summary

Noridian Healthcare Solutions is seeking a Provider Auditor II to conduct CMS and other financial audits, desk reviews, and on-site field audits to ensure proper reimbursement for Medicare programs. You will interact with providers and facilities management with professionalism and prepare reports on audit results.

Responsibilities include evaluating Medicare rules, guiding junior staff, identifying opportunities for process improvement, and ensuring compliance with HIPAA and CMS requirements.

Qualifications

• Bachelor’s degree in Accounting, Business, Finance or equivalent.
• 1 year Medicare auditing experience.
• Knowledge of accounting theory and practices.
• Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint).
• Demonstrated knowledge of Medicare/Medicaid regulations, healthcare terminology, and Medicare Cost Report software (HFS).

Responsibilities

• Conduct CMS and other financial audits to ensure proper reimbursement.
• Perform limited and full desk reviews and on-site field audits.
• Prepare and submit reports on audit results.
• Mentor Auditor I and II staff through training and feedback.
• Identify areas of opportunity and recommend corrective actions.

Skills

Medicare auditing

Accounting knowledge

MS Office

Medicare regulations

Education

Bachelor's degree in Accounting/Business/Finance

Tools

Medicare Cost Report software (HFS)

Job description

Noridian Healthcare Solutions is seeking a Provider Auditor II to conduct CMS and other financial audits, desk reviews, and on-site field audits to ensure proper reimbursement for Medicare programs. You will interact with providers and facilities management with professionalism and prepare reports on audit results.

Responsibilities include evaluating Medicare rules, guiding junior staff, identifying opportunities for process improvement, and ensuring compliance with HIPAA and CMS requirements.