Staff Accountant

ECCO Select; Kansas City (MO); On-site; USD 55,000 - 75,000; Full time

Job summary

ECCO Select is seeking a Staff Accountant to support healthcare and government engagements by reviewing provider financial information, performing reimbursement calculations, and conducting audits in line with Medicaid and other program requirements.

You will participate in all audit phases, document findings clearly, and ensure compliance with applicable accounting standards and regulatory guidance.

Qualifications

• Bachelor’s degree in Accounting or closely related field.
• Strong analytical and problem-solving skills.
• Strong written and verbal communication skills.
• Ability to review, interpret, and apply regulatory requirements.
• High accuracy and attention to detail.
• Proficiency with Excel and Word.

Responsibilities

• Review Medicaid provider cost reports and related financial information.
• Analyze healthcare provider financial data for accuracy and compliance.
• Perform reimbursement calculations per Medicaid and government requirements.
• Conduct desk reviews and participate in on-site audits as needed.
• Execute all phases of audits: planning, fieldwork, findings, and reporting.
• Research billing and reimbursement compliance with relevant regulations.
• Interpret federal/state policies before and during audits.
• Prepare audit workpapers documenting procedures, scope, conclusions, and findings.
• Maintain documentation per Medicaid and AICPA standards.
• Prepare written documentation supporting judgments and recommendations.
• Extract, organize, and report financial information accurately.
• Identify opportunities to improve processes and analytics.
• Maintain secure, complete electronic work papers.
• Protect health information and sensitive data.

Skills

Analytical thinking

Problem solving

Verbal and written communication

Attention to detail

Time management

Education

Bachelor’s degree in Accounting

Master’s degree in Accounting (preferred)

CPA or CPA candidate (preferred)

Tools

Microsoft Excel

Microsoft Word

Microsoft Office

Job description

The Staff Accountant supports healthcare and government program engagements by reviewing provider financial information, performing reimbursement calculations, conducting audits, and evaluating compliance with applicable Medicaid and other government program requirements. This role is responsible for supporting all phases of the audit process, preparing clear documentation of findings, and applying relevant accounting, regulatory, and professional standards.

Essential Functions and Primary Duties

• Review Medicaid provider cost reports and related financial information.
• Analyze healthcare provider financial data for accuracy, reasonableness, and compliance.
• Perform reimbursement calculations in accordance with applicable Medicaid and government program requirements.
• Conduct desk reviews and participate in on-site audits as required.
• Perform all phases of assigned audits, including planning and research, risk assessment, fieldwork, development of findings, and reporting.
• Conduct research to determine billing and reimbursement compliance with relevant Medicaid, federal, state, and other government program regulations.
• Review and interpret applicable federal and state policies, regulations, and guidance before and during each audit engagement.
• Prepare audit workpapers documenting procedures performed, scope, conclusions, and findings.
• Maintain workpapers in accordance with applicable Medicaid or government program requirements and relevant professional standards, including AICPA standards.
• Prepare written documentation supporting professional judgments, findings, and recommendations.
• Gather, organize, analyze, and report financial and operational information accurately.
• Identify opportunities to improve processes, documentation, and analytical approaches.
• Maintain complete and accurate electronic documentation of work performed.
• Protect the security and confidentiality of protected health information and other sensitive information.
• Manage multiple assignments, priorities, and deadlines effectively.
• Perform additional responsibilities as assigned.

Minimum Qualifications

• Bachelor’s degree in Accounting or a closely related field.
• Strong analytical and problem-solving skills.
• Strong written and verbal communication skills.
• Ability to review, interpret, and apply statutory, regulatory, and policy requirements.
• Strong organizational skills with a high degree of accuracy and attention to detail.
• Ability to manage multiple assignments and prioritize competing deadlines.
• Proficiency with Microsoft Office applications, including Excel and Word.

Preferred Qualifications

• Master’s degree in Accounting or a related field.
• CPA or CPA candidate ideal but not required
• Internship or professional experience in accounting, auditing, healthcare, reimbursement, or a related field.
• Experience with healthcare auditing and financial data analysis.
• Experience reviewing provider cost reports or reimbursement-related financial information.
• Familiarity with Medicaid, Medicare, or other government healthcare program requirements.
• Experience conducting compliance, financial, or operational audits.
• Knowledge of audit documentation and professional standards, including AICPA standards.

Knowledge, Skills, and Abilities

• Strong accounting and financial analysis skills.
• Ability to evaluate financial records and identify discrepancies, risks, and potential compliance issues.
• Ability to perform reimbursement calculations accurately.
• Understanding of audit planning, risk assessment, fieldwork, documentation, and reporting.
• Strong research and regulatory interpretation skills.
• Ability to clearly communicate audit findings and financial conclusions to both technical and non-technical audiences.
• Ability to work independently and collaboratively within an engagement team.
• High level of professionalism, confidentiality, accuracy, and attention to detail.
• Ability to adapt to changing priorities, client requirements, and project deadlines.

ECCO Select is committed to hiring and retaining a diverse workforce. Our policy is to provide equal opportunity to all people without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, citizenship status, sex, sexual orientation, gender identity or any other legally protected category. Veterans of our United States Uniformed Services are specifically encouraged to apply for ECCO Select opportunities.

Equal Employment Opportunity is The Law

This Organization Participates in E-Verify