PARD Lead Auditor

Overview Are you interested in joining a team of experienced healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a better health experience for all consumers. Join our winning culture and help transform Medicare for the millions of people who rely on its services. Benefits Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire Short- and long-term disability benefits 401(k) plan with company match and immediate vesting Free gym memberships Employee Incentive Plan Employee Assistance Program Rewards and Recognition Programs Paid Time Off and Paid Sick Leave Summary The Provider Audit and Reimbursement Lead utilizes advanced knowledge of Medicare laws, regulations, instructions from CMS, and provider policies to perform desk reviews and audits of the annual Medicare cost reports, as well as interim rate review/reimbursement, and/or settlement acceptance/finalization for all provider types, including complex and organ transplant hospitals, as both a preparer and reviewer of work product based on established performance goals. The position will mentor and train Auditors and In-Charge Auditors and oversee daily workload of unit team. Responsibilities Lead Accountabilities (60%) Coordinate with management by overseeing the unit's daily workload; use independent judgment to guide less experienced auditors; identify errors and communicate corrective actions; prioritize work to meet deadlines; develop work plans for less experienced auditors Analyze working papers and cost reports for errors Review workpapers for correctness and adherence to GAAP, GAAS, GAS; ensure compliance with CMS Uniform Desk Review (UDR) and policy; assemble working papers into a logical sequence Review, evaluate and approve the disbursement of tentative cost settlements in compliance with regulations Develop technical competence and foster growth in the team; provide coaching and training Coordinate assignments based on training needs; provide mentoring and training Manage and coordinate internal quality control with IQC; ensure policies and procedures meet auditing standards Facilitate development of Quality Management System (QMS) policies and procedures Auditor Accountabilities (40%) Perform audit functions including non-routine tasks; defend adjustments and workpapers with minimal supervision Coordinate large/diverse audits independently while seeking help for unusual items Use professional communication techniques in work and conclusions Maintain constructive provider relations; advise providers on Medicare policy questions Conduct entrance and exit conferences as needed Perform other duties as assigned Qualifications Bachelor’s degree or equivalent experience in auditing, accounting, analytics, finance or related field Thorough understanding of the Medicare cost report and related CMS standards; typically 2.5–3 years of Medicare cost report auditing experience Experience in UDR, Medicare Bad Debts, DSH, IME/GME testing; ability to oversee scope and supervise staff Ability to prepare workpapers according to CMS standards; strong working knowledge of software applications; mentoring ability Demonstrated oral and written communication skills; ability to exercise independent judgment Attention to detail and reliability in meeting deadlines Preferred Qualifications 3 to 4 years of Medicare cost report auditing experience Experience reviewing NAHE and Organ Acquisition costs Job Details Seniority level: Mid-Senior level Employment type: Full-time Job function: Accounting/Auditing and Finance Industries: Hospitals and Health Care Legal/Policy We are an Equal Opportunity/Protected Veteran/Disabled Employer. This opportunity is open to remote work in approved states. Specific counties and cities within these states may require further approval. In some states, in-office or hybrid work may also be available. Note: This posting may include additional roles or salary ranges observed elsewhere; this content is retained for reference purposes only. #J-18808-Ljbffr Novitas Solutions, Inc.