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Medicare Cost Reporting Auditor III

Job not on LinkedIn

đź•’ July 7

🌴 South Carolina – Remote

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đź’µ $57.8k - $110.4k / year

⏰ Full Time

🟡 Mid-level

đźź  Senior

🔎 Auditor

🦅 H1B Visa Sponsor

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đź‘» Ghost score 39%

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Logo of Palmetto GBA

Palmetto GBA

1001 - 5000 employees

Founded 1965

🏥 Healthcare

đź’Ľ 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.

đź“‹ Description

• Provide a full range of financial, compliance, and operational audits, business advisory, consultation, investigations, internal controls, accountability, and resource-use services • Conduct timely internal and/or external operational, financial, and compliance audits of divisions, departments, providers, and corporate activities • Evaluate internal controls, identify and document business risks, and develop written audit programs • Test and analyze controls to determine adequacy and effectiveness • Prepare work papers documenting testing results and conclusions • Document issues, causes, effects, and process or corporate impacts • Serve as Lead Auditor on complex audit assignments • Draft recommendations to limit risks and improve processes, functions, and activities • Write audit reports for corporate executive management • Collect and analyze data to detect deficient controls, duplicated effort, fraud, or non-compliance • Test corrective actions • Develop detailed audit reports with findings, recommendations, and improvement methods • Examine and evaluate financial and information systems and recommend controls for reliability and data integrity • Conduct special audit studies for management and prepare findings and recommendations • Train, assist, or lead other auditors • Expand knowledge of applicable laws, regulations, program instructions, and technology through self-study and training

🎯 Requirements

• Bachelor's in a job related field • 5 years auditing experience • Knowledge of the principles and practices of auditing • Ability to analyze and determine the applicability of financial data, draw conclusions and make appropriate recommendations • Ability to gather information by examining records and documents and interview individuals concerning those records • Strong interpersonal skills and ability to work professionally with persons at all levels and maintain effective working relationships • Ability to communicate clearly and effectively in oral and written form • Ability to handle sensitive matters on a confidential basis • Excellent analytical or critical thinking and problem-solving capabilities • Microsoft Office • Preferred licenses and certificates: Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certified Information Systems Auditor (CISA)

🏖️ 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

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