Auditor II Medicare Cost Reporting
Detroit at Work
Join BlueCross BlueShield of South CarolinaWhy should you join the BlueCross BlueShield of South Carolina family of companies? We've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina, one of the nation's leading administrators of government contracts, and operate one of the most sophisticated data processing centers in the Southeast. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!Position Purpose: Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources.Location: This position is full-time (40-hours/week) Monday-Friday working Remote in the U.S., or onsite at our 17 Technology Circle, Columbia, SC location. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime.What You'll Do:Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls.Identifies, documents, and evaluates business risks.Documents issues, the causes of those issues, and their effects on the process/function and the corporation.Drafts recommendations to limit risks and improve processes, functions and activities.Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions, and recommendations.Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws, regulations, and management policies.Conducts testing of corrective actions as identified.Develops detailed reports on each audit conducted.Examines and evaluates financial and information systems, recommending controls to ensure system reliability and data integrity.Conducts special audit studies for management, such as those required to discover controls for prevention of fraud.Prepares reports of findings and recommendations for management.Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.To Qualify for This Position, You'll Need the Following:Required Education: Bachelor's degree in a job related fieldRequired Work Experience: 3 years auditing experience.Required Software and tools: Microsoft OfficeRequired Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data. Ability to draw conclusions and make appropriate recommendations for analyzed data. Ability to gather information by examining records and documents and interviewing individuals. Strong interpersonal skills. Ability to maintain effective working relationships. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis.We Prefer That You Have the Following:3 years Medicare cost report audit experience12 hours accounting and/or finance creditsPreferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA)Our comprehensive benefits package includes the following:Subsidized health plans, dental and vision coverage401k retirement savings plan with company matchLife InsurancePaid Time Off (PTO)On-site cafeterias and fitness centers in major locationsEducation AssistanceService RecognitionNational discounts to movies, theaters, zoos, theme parks and moreWe understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
$59.3k - $80.9k
...community The Medical Coding Auditor reviews medical claims... ...Auditor contributes to overall cost reduction, by increasing the accuracy... ...coding guidelines and provide reports as needed Maintain strict... ...quality of life for people with Medicare and Medicaid, families,...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$59.3k - $80.9k
...looking for an experienced medical coding auditor to handle provider disputes in a result-... ...Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates... ...better quality of life for people with Medicare and Medicaid, families, individuals,...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome officeFlexible hours- ...Metro area by U.S. News & World Report, Lexington Health delivers... ...Certified Professional Medical Auditor (CPMA) Certification (Not required... ...and billed in accordance with Medicare, Medicaid, and third party... ...committed to offering quality, cost-effective benefits choices for...SuggestedFull timeTemporary workFor contractorsWork at officeLocal areaFlexible hoursDay shift
- ...is seeking an experienced Outpatient Behavioral Health Coding Auditor to handle provider disputes in a metrics-driven environment. This... ...BH coding disputes within the PPI Coding Disputes Team, reporting to the Manager. The auditor collaborates across departments...SuggestedRemote work
- ...identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to... ...established policy. Maintains working knowledge of Centers for Medicare & Medicaid Services (CMS) regulations and applicable carrier...SuggestedWork at officeLocal areaRemote work
- ...Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes.... ...updates. Assists in providing training and support to other auditors/investigators, contributing to the continuous improvement of investigative...Work at office
$73.3k - $150.5k
...Sponsoring Organizations (COSO) and Sarbanes Oxley (SOX) control framework for Generally Accepted Accounting Principles (GAAP) financial reporting.Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies...Full timeTemporary workWork experience placementWork at officeWorldwide- Position Title: Home Performance Technician/Energy Auditor Location: Columbia, SC Position Overview We are seeking a full-time Residential... ...and diagnostic testing on homes experiencing high energy costs and other performance issues. Diagnostic testing could include blower...Full timeFor contractorsWork at officeLocal area
- ...organizational guidelines and does independent planning and implementation, reporting progress of major activities through periodic conferences and... ...South Carolina Class “D” Driver’s License; Certified Internal Auditor designation is desirable. Knowledge, Skills, and Abilities...Work at office
- ...The South Carolina Department of Motor Vehicles (SCDMV) is seeking a Compliance Auditor to enforce CDL regulations across multiple counties. You will audit driver training schools and third-party testers, conduct inspections, and educate stakeholders on program requirements...
- ...community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM,... ...and guidelines. Understand rules and regulations governing Medicare billing Advanced Knowledge of NCCI, ICD-10-CM, CPT, HCPCS, and...Temporary workWork experience placementRemote work
- ...strong technical competence, manage work from planning through reporting, and help identify opportunities to provide additional value.ResponsibilitiesManaging... ...services or industry.Current Certified Information Systems Auditor (CISA) certification is required.CPA certification...Full timeContract workWork at officeRemote workFlexible hours
- CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role ensures coding accuracy, proper documentation, and compliance with state and federal requirements. You will review CPT/HCPCS...
- DataAnnotation is where 100k+ experts train the world’s leading AI models. As a Finance Expert you’ll evaluate AI-built financial analyses on real corporate scenarios, check the valuation assumptions and the accounting behind them, and write the judgments that teach models...Remote work
- ...SC (Hybrid) What You'll Do Manage and/or execute risk-based operational, financial, and IT audit engagements from planning through reporting. Review audit workpapers and ensure audit conclusions are well-supported, accurate, and aligned with professional standards....
- ...General Controls (ITGCs), automated and application controls, key reports, SOC reports, and other technology-dependent controls. This... ...Relevant certifications include:Certified Information Systems Auditor (CISA)Certified Public Accountant (CPA)Certified Internal Auditor...Full timeContract workInternshipWork at officeRemote workFlexible hours
$65k - $75k
...Branch Auditor And Fleet SupervisorIrmo, SC 29063OverviewSalary Range $65,000.00 - $75,000.00 Salary/year Position Type Full Time Job... ...throughout the year.Execute audits, validate issues, write audit reports, and communicate results with Cregger Company leadership....Full timeWork at officeLocal areaShift work- ...accuracy and documentation of the accounting records, statistical reports, financial statements and transactions of the agency. This... ...position will also assist in the supervision and development of new auditors ensuring they understand the importance of auditing, preparing...Full timeWork at officeNight shift
- ...for clients during engagements, including leading meetings, presenting findings, and addressing questions.Review and finalize audit reports, ensuring clarity, accuracy, and actionable recommendations.Identify emerging risks, control deficiencies, and process improvement...Full timeContract workWork at officeFlexible hoursNight shift
- ...AgFirst Farm Credit Bank is seeking a Manager of Audit in Columbia, SC (Hybrid). You will lead risk-based audits from planning to reporting and present findings to senior leadership, including the Audit Committee. You will hire and coach a team, develop the annual audit...
$184k - $276k
...in Audit & Tax-sourced pipeline and revenueFull integration of acquired marketing orgs within 12 monthsImproved campaign efficiency (cost per lead, cycle time)QualificationsBachelor's degree in Marketing, Communications, Business, or related field; MBA or advanced...Work at officeFlexible hoursShift work3 days per week$184k - $276k
...Audit & Tax-sourced pipeline and revenue Full integration of acquired marketing orgs within 12 months Improved campaign efficiency (cost per lead, cycle time)QualificationsBachelor’s degree in Marketing, Communications, Business, or related field; MBA or advanced degree...InternshipSeasonal workWork at officeLocal areaFlexible hoursShift work3 days per week- WHO WE AREElliott Davis pairs forward-thinking tax, assurance and consulting services with industry-leading workplace culture. Our nine offices — located in the fastest growing cities in the US — are built on a foundation of inclusivity, collaboration, and collective growth...Full timeContract workWork at officeFlexible hours
- ...interpersonal skillsEffective analytical and problem-solving abilityExperience in hiring, developing, and leading a team of professional auditors#LI-EH1#LI-HYBRIDWHY YOU SHOULD JOIN USWe believe that when our employees are able to thrive in all facets of life, their work and...Full timeContract workWork at officeFlexible hours
- ...compliance risks across the DMEPOS space, collaborating with the Compliance Manager and cross-functional teams. Initially you will learn the business and Medicare/Medicaid guidelines, then begin provider audits within 90 days and respond to plan questions. #J-18808-LjbffrRemote work
- Commonwealth Lodging Management LLC is seeking a front desk associate at Hilton Garden Inn Home2 Suites Downtown Columbia, SC. You will greet guests, handle check-in/out, and maintain accurate guest records while upholding hotel standards. Key responsibilities include ensuring...Night shift
$80k - $109k
...and the risks they face, and then focus our efforts where they matter most. We work with clients to improve their overall financial reporting processes and to help them better understand their plan processes and areas of risk. We also consider it our job to continually...Full time$90k - $160k
Job Description Job Description About the Role We are seeking a highly skilled and motivated Senior Audit Associate to join our growing tax practice in Columbia, SC. This is a unique opportunity to work on sophisticated tax matters, with a particular focus on captive...$110k - $122k
...job duties include: Direct and manage the Internal Audit Division's professional staff according to the Institute of Internal Auditors (IIA) International Standards for the Professional Practice of Internal Auditing and according to the IRS's Publication 1075 compliance...Full timeWork at officeRemote workMonday to FridayFlexible hours
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