Remote Government Auditor

Description Our Cost Report Auditor is responsible for conducting audits and desk reviews of Medicare Cost Reports in accordance with the Centers for Medicare & Medicaid Services (CMS) regulations. They ensure the accuracy and integrity of statistical and financial data submitted by healthcare providers and supports the effective use of U.S. tax dollars in the Medicare program. This auditor plays a key role in upholding government auditing standards and ensuring cost-effective healthcare delivery.
We are open to remote work in the following approved states:
Complete audits and desk reviews using the Uniform Desk Review/Audit Program, meeting established interim and monthly production goals.
Prepare audit adjustment reports and complete detailed work papers in alignment with Government Auditing Standards and CMS requirements.
Analyze financial and statistical data, including expense and revenue figures, to assess reasonableness and compliance with federal regulations.
Review provider pricing policies to ensure consistency in charge structures and examine statistical data for proper cost allocation.
Participate in work groups focused on improving work paper guidelines, auditing techniques, and documentation standards.
Communicate with providers providing explanations and supporting documentation and applicable regulations to support audit findings and reimbursement decisions.
Feel comfortable defending your decisions with data and facts.
Excel at math and problem solving.
Want to work in an environment with strong work life balance with flexible work hours.
Are interested in working remotely in the comfort of your home - no driving time, gas costs, or wear and tear on your vehicle.
Work experience with a management team that is committed to maintaining a high performing work culture.
Learn basic auditing principles that can spark career growth.
A thorough introduction to healthcare reimbursement.
Serving Medicare beneficiaries and providers.
Working in a continuous performance feedback environment.
Bachelor's degree in Accounting, Finance, Business Administration, or related field, or equivalent post high school education and/or work-related experience.
Solid knowledge and experience with Microsoft Excel.
Knowledge of CMS Medicare Cost Reporting requirements and Government Auditing Standards.
Experience with audit methodologies, financial analysis, and regulatory compliance.
Remote Work Requirements
Wired (ethernet cable) internet connection from your router to your computer.
High speed cable or fiber internet
Please review Remote Worker FAQs for additional information
Remote and hybrid work options available

• Performance bonus and/or merit increase opportunities
• 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately )
• Health insurance, dental insurance, and telehealth services start DAY 1
• WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.

We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. We are proud of the recognition we have received from local and national organizations regarding our culture and workplace: LinkedIn
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This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation including fingerprinting prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities