Quick overview
SeniorityMid Senior
Work modeHybrid
LocationAtlanta, United States
Microsoft ExcelMicrosoft OfficeAuditingCPAComplianceProcess ImprovementRisk AssessmentData Analysis
Job description
#LI-AE1 #LI-Hybrid
Essential Functions and Primary Duties
- Perform reviews of Medicaid provider cost reports
- Analyze health care provider financial information
- Perform reimbursement calculations
- Prepare written documents supporting professional decisions
- Conduct desk reviews and various on-site audits
- Conduct research in order to determine billing and reimbursement compliance with relevant Medicaid or other government program regulations
- Conduct all phases of the audit including planning and research, risk assessment, fieldwork, reporting of findings, and other procedures as required
- Review applicable Federal and State policies and regulations associated with each specific audit type prior to performing the audit
- Prepare working papers to document scope and findings of audit in accordance with Medicaid or other government program regulations and AICPA standards
- Demonstrate excellence in communication skills, data gathering, analysis, reporting, and process improvement
- Maintain security and confidentiality of all protected health information when analyzing material
- Maintain thorough electronic documentation
- Additional responsibilities as assigned
Preferred Qualifications
- Master’s degree in accounting or related field
- CPA or CPA candidate
- Internship or equivalent working experience in accounting or related field
- Experience with health care auditing and data analysis
- Ability to review statutory/regulatory or other policy language and apply requirements
- Strong analytical and problem solving skills
- Strong verbal and written communication skills
- Well organized with a high degree of accuracy and attention to detail
- Effectively multi-task with planning and efficiency
- Must be able to manage multiple deadlines and prioritize assignments
- Proficient use of applicable technology; specifically Microsoft Office Applications (Excel, Word, etc.)
- Ability to travel based on client and business needs
Minimum Qualifications
- Bachelor’s degree in accounting or related field
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