Remote Senior Medicare Provider Auditor

Jobgether; Oregon; Hybrid; USD 59,000 - 99,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) retirement plan with employer–H

Education assistance

Paid time off

Life insurance

Employee assistance program

Severance package

Job summary

A Senior Provider Auditor based in the United States is sought to ensure accurate Medicare reimbursement and regulatory compliance through comprehensive provider audits and financial reviews. You will evaluate Medicare Cost Reports, apply CFR rules, and mentor junior staff toward higher audit quality.

This fully remote role blends independent analysis with team collaboration, offering ongoing education, benefits, and the chance to strengthen relationships with healthcare providers while

Qualifications

• Bachelor's degree or equivalent experience.
• At least three years of Medicare auditing experience.
• Advanced knowledge of Medicare rules, CFR, and Cost Reports.
• Strong accounting, financial analysis, audit documentation and testing.
• Proficiency with MS Office (Word, Excel, Outlook, PowerPoint).
• Excellent written and verbal communication skills.
• Strong analytical and organizational abilities with attention to detail.
• Ability to coach, mentor, and develop colleagues.
• Strong interpersonal and relationship-management skills.
• Ability to prepare reports and deliver presentations clearly.
• Understanding of broader industry requirements and risk assessment.
• Ability to work remotely independently.
• Willingness to maintain continuing education requirements.

Responsibilities

• Conduct Medicare-related financial analyses, desk reviews, and audits to verify reimbursement accuracy and compliance.
• Apply Medicare rules and CFR guidance to evaluate Cost Reports and calculations.
• Review audit documentation and testing procedures for accuracy and adherence to policies.
• Assess deficiencies or risks; recommend corrective action and prepare audit reports.
• Provide guidance and mentorship to junior auditors to improve quality and reduce risk.
• Mentor team members through coaching, training, and feedback.
• Support onboarding and training of new staff and continuous education.
• Perform supervisory reviews and provide feedback to improve efficiency and quality.
• Build professional relationships with healthcare providers and facility management.
• Participate in internal training and external provider education activities.

Skills

Medicare auditing

Financial analysis

Coaching & mentorship

Communication

Remote collaboration

Education

Bachelor's degree or equivalent

Tools

Microsoft Office

Job description

A Senior Provider Auditor based in the United States is sought to ensure accurate Medicare reimbursement and regulatory compliance through comprehensive provider audits and financial reviews. You will evaluate Medicare Cost Reports, apply CFR rules, and mentor junior staff toward higher audit quality.

This fully remote role blends independent analysis with team collaboration, offering ongoing education, benefits, and the chance to strengthen relationships with healthcare providers while