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Audit & Reimbursement III - PS35450

This job posting is no longer active.

Location: Indianapolis, IN
Job Family: Accounting/Finance/Auditing
Req #: PS35450
Date Posted: Jul 21, 2020


SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At National Government Services (NGS), an independent subsidiary of Anthem, Inc. and one of the largest Medicare contractors in the country, it’s a powerful combination.  It’s the foundation upon which we’re creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve. 
NGS Audit & Reimbursement III - PS35450
Work Location – NGS Locations: Indianapolis IN, Syracuse NY, Portland ME, Denison TX, Richmond VA; Remote may be available
Primary Purpose: The Audit and Reimbursement Auditor III will support audit activities of healthcare providers’ financial and statistical records in accordance with Government Auditing Standards (GAS). The Auditor III will be responsible for the auditing activities associated with performing audits and desk reviews of increasingly more difficult provider cost reports as part of our Medicare Administrative Contract (MAC) with the Federal Government (The Centers for Medicare and Medicaid Services (CMS) branch of the Department of Health and Human Services).  The auditor will receive training, participate in audit related workload, mentor, and have opportunities to participate on special projects.
Primary duties may include, but are not limited to:
•Participate in completing the Uniform Desk Review/Audit Program on provider submitted Medicare cost reports
•Document findings, prepare detailed work papers and present audit adjustment reports in accordance with GAS and CMS requirements
•Analyze and interpret data per a provider’s trial balance, financial statements, financial documents or other related healthcare records
•Stay abreast with applicable Federal Laws, regulations, policies and audit procedures
•Respond timely and accurately to customer inquiries 
•Perform additional audit assignments as requested
•Ability to use effective communication and interaction skills
•Ability to multi- task while independently and effectively prioritizing work using time management, initiative, project management and problem-solving skills
•Mentor new and less experienced staff
•Evaluate the less complicated work performed by the audit staff


•Requires a BA/BS degree (preferably in Accounting, Finance, Business Administration, or Healthcare Management) with 2-4 years of Medicare cost report experience, or 5-7 years of audit/reimbursement experience or related Medicare cost report experience
•Demonstrated understanding of accounting principles, auditing theories, or math concepts obtained through formal education and/or work related experience
•Must possess effective verbal and written communication skills
•Experience in Microsoft Office Word, Excel, and Outlook
•Effective organization and time management skills
•Effective problem solving skills
•Excellent interpersonal skills with the ability to establish working relationships with individuals at varying levels within the organization
•Must be able and willing to travel 
The skills/competencies listed below are preferred but not required:
• 5-7 years of Medicare audit/reimbursement or related Medicare experience
•Thorough knowledge of Medicare Part A Laws, regulations, program manuals and audit policies
•Thorough knowledge of CMS computer systems
•Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) or CPA Eligible

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