Medicare Cost Report Auditor III

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🔥 8 minutes ago

🐊 Florida, North Carolina, +2 more states – Remote

🐊 Florida – Remote 🌲 North Carolina – Remote 🌴 South Carolina – Remote 🍁 Vermont – Remote

💵 $57.8k - $110.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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CGS Administrators, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B • Fraud Prevention

CGS Administrators, LLC is a company that provides scalable administrative services focused on optimizing operational performance and reducing costs for health plans. With over 50 years of experience, CGS delivers a range of services including credentialing, member services, claims processing, and fraud prevention to the Centers for Medicare & Medicaid Services (CMS) and various healthcare providers. Their aim is to streamline operations and enhance customer satisfaction, contributing positively to the healthcare delivery system.

📋 Description

• Conduct internal and/or external operational, financial, and/or compliance audits • Identifies, documents, and evaluates business risks • Develop written audit programs • Prepare written work papers documenting testing results and conclusions • Draft recommendations to limit risks and improve processes • Write audit reports for corporate executive management • Collect and analyze data to detect deficient controls or fraud • Conduct testing of corrective actions identified • Develop detailed reports on each audit conducted • Provide training to and assist/lead other auditors

🎯 Requirements

• Bachelor's in a job related field • 5 years auditing experience • Knowledge of the principles and practices of auditing • Ability to analyze financial data • Strong interpersonal skills • Excellent analytical or critical thinking and problem-solving capabilities • Proficiency in Microsoft Office • Lead auditor for UDRs and complex hospital audits (preferred) • Minimum 2 years of Medicare hospital cost report auditing experience (preferred) • Expertise in Medicare Bad Debt and DSH cost report reviews (preferred)

🏖️ Benefits

• Subsidized health plans, dental and vision coverage • 401k 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