About The Role

#LI-MB1

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

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