Medicare Cost Reporting Auditor II

Job not on LinkedIn

🕒 July 2

🌺 Hawaii, South Carolina, +2 more states – Remote

🌺 Hawaii – Remote 🌴 South Carolina – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote

💵 $49.4k - $94.7k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

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Palmetto GBA

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1965

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Palmetto GBA is one of the nation's largest providers of high-volume Medicare claims and transaction processing, contact center operations, and technical services for federal healthcare programs and commercial customers. The company serves as a Medicare Administrative Contractor (MAC) and supports enrollment, claims adjudication, provider and beneficiary services, specialized programs (e. g. , DMEPOS, Home Health & Hospice, Railroad Medicare), pricing and coding analysis, and third-party administrator functions. Headquartered in Columbia, South Carolina, Palmetto GBA operates across multiple Medicare jurisdictions and is part of the Celerian Group.

📋 Description

• Conduct timely operational, compliance, and financial audits of divisions, departments, providers, and corporate activities, including evaluation of internal controls • Identify, document, and evaluate business risks • Document issues, causes, and effects on processes, functions, and the corporation • Draft recommendations to limit risks and improve processes, functions, and activities • Write audit reports for corporate executive management conveying evaluations, conclusions, and recommendations • Collect and analyze data to detect deficient controls, duplicated effort, fraud, or non-compliance • Conduct testing of corrective actions • Develop detailed reports on each audit, including findings and recommendations for correcting deficiencies and improving processes • Examine and evaluate financial and information systems and recommend controls for system reliability and data integrity • Conduct special audit studies for management, including fraud-prevention control studies • Prepare reports of findings and recommendations for management • Assist other auditors to maximize audit efficiency and reduce lost time and corporate personnel involvement

🎯 Requirements

• Bachelor's in a job related field required • Degree equivalency: 4 years job related work experience, or Associate's and 2 years job related work experience • 2 years auditing experience required • 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 • Microsoft Office • Typical office environment; travel between office buildings may be required; out of town travel may be required • Preferred: Certified Internal Auditor (CIA), Certified Public Accountant (CPA), Certified Information Systems Auditor (CISA), or Certified Fraud Examiner (CFE)

🏖️ 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 • Training classes and programs that help employees prepare for leadership positions • Tuition assistance for education advancement • Awards and financial incentives