Medicare Cost Report Auditor III

Summary 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. Responsibilities Conduct internal and/or external operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation, including evaluation of internal controls. Identify, document, and evaluate business risks. Develop written audit programs. Conduct testing and analysis of existing controls to determine adequacy and effectiveness. Prepare written work papers to document testing results and conclusions. Document issues, their causes, and effects on the process/function and the corporation. Serve as Lead Auditor on more complex audit assignments. Draft recommendations to limit risks and improve processes, functions, and activities. Write audit reports for corporate executive management that convey engagement evaluations, conclusions, and recommendations. Collect and analyze data to detect deficient controls, duplicated effort, fraud, or non‑compliance with laws, regulations, and management policies. Conduct testing of corrective actions as identified. Develop detailed reports on each audit conducted, including findings and recommendations to correct deficiencies and improve processes. Examine and evaluate financial and information systems, recommending controls to ensure system reliability and data integrity. Conduct special audit studies for management, such as those required to discover controls for prevention of fraud. Prepare reports of findings and recommendations for management. Provide training to and assist or lead other auditors in completing their assignments to maximize audit efficiency. Continuously expand knowledge of applicable laws, regulations, program instructions, and technology through self‑study, corporate offerings, and formal training programs. Qualifications Bachelor’s degree in a related field (preferred Accounting/Finance). Minimum 5 years of auditing experience (preferred lead auditor for Uniform Desk Reviews and Medicare hospital audits). Knowledge of the principles and practices of auditing. Ability to analyze financial data, draw conclusions, and make recommendations. Ability to gather information by examining records, documents and interviewing individuals. Strong interpersonal skills and ability to work professionally with persons at all levels. Excellent written and verbal communication skills. Ability to handle sensitive matters on a confidential basis. Excellent analytical, critical thinking, and problem‑solving capabilities. Proficiency in Microsoft Office. Preferred certifications: CIA, CPA, or CISA. Preferred experience: Minimum 2 years of Medicare hospital cost report auditing experience; expertise in Medicare Bad Debt and DSH cost report reviews; skilled in Nursing and Allied Health Education (NAHE) legal operator determinations and add‑on payment calculations. Work Environment Typical office environment. Travel between office buildings and out of town may be required. Benefits Subsidized health plans, dental and vision coverage. 401(k) retirement savings plan with company match. Life insurance. Paid Time Off (PTO). On‑site cafeterias and fitness centers in major locations. Education assistance. Service recognition. National discounts to movies, theaters, zoos, theme parks and more. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and its subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. As a federal contractor, the company maintains affirmative action programs to promote opportunities for individuals with disabilities and protected veterans. The company is committed to providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy‑related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the company. The company participates in E‑Verify and complies with the Pay Transparency Nondiscrimination Provision. The company is an Equal Opportunity Employer. #J-18808-Ljbffr 260 CGS Administrators, LLC