Noridian Healthcare Solutions, LLC · 1 day ago
Senior Provider Auditor
United States
Full-time
Remote
Mid, Senior Level
$60K/yr - $99K/yr
3+ years exp
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Responsibilities
Possesses and maintains a high level of working knowledge in Medicare rules, regulations (e.g, Code of Federal regulations, Provider reimbursement Manual) to ensure reimbursement principles are properly applied to the Medicare Cost Report so that medicare reimbursement is accurate.
Mentors staff at all levels by training, coaching, and providing constructive and positive feedback.
Assists with new and existing employee training on department techniques, desk review and audit methodologies, policies and procedures.
Provides professional judgement, strategic insight, and guidance to Provider Auditor I and II’s using their knowledge, experience, and research to ensure quality control is adequate and minimize risk for the team and organization.
Performs less complex supervisory level reviews and coaches staff with feedback to strengthen their knowledge and skills to perform job functions effectively and efficiently.
Enhances and maintains strong, professional working relationships with providers.
Requires extensive knowledge of documentation requirements from audit testing through preparation of audit workpapers.
Provides training to internal staff and participates in external outreach and education to the provider community.
Qualification
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Required
Bachelor's degree in Accounting, Business, Finance, or equivalent work experience
3 years' Medicare auditing experience
Knowledge of accounting theory and practices
Proficient in Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint)
Advanced knowledge of Medicare rules, regulations (e.g., Code of Federal Regulations, Provider Reimbursement Manual) to ensure the reimbursement principles are properly applied to the Medicare Cost Report so that Medicare reimbursement is accurate.
Preferred
Bachelor's degree in Accounting, Business or Finance
Excellent written and verbal communication skills
Excellent organizational skills
Ability to coach, advise, and develop others
Demonstrated understanding of industry and enterprise objectives
Excellent presentation skills
Benefits
Health, Dental and Vision Insurance
Voluntary Insurance Plans
Health Savings and Flexible Spending Accounts
401k and Company Match
Company-paid Life Insurance
Education Assistance Program
Paid Sick Leave
Paid Holidays
Increasing PTO Accrual Plan
Medical/Parental/Disability Leave
Workers Compensation
Retiree Benefits
Severance Package
Employee Assistance Program
Financial and Health Wellness Benefits
Casual Dress
Open Office Setting
Online Learning System
Company
Noridian Healthcare Solutions, LLC
Noridian Healthcare Solutions, LLC (Noridian) develops solutions for federal, state and commercial health care programs through a full suite of innovative offerings, including claims processing, medical review, and contact center and provider administrative services.
1,001-5,000 employees
H1B Sponsorship
Noridian Healthcare Solutions, LLC has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (2)
2022 (15)
2021 (12)
2020 (2)
Funding
Current Stage
Late StageLeadership Team
Jon Bogenreif
CEO
Cathy Benoit
Senior Vice President of Government Contracts
Recent News
Company data provided by crunchbase
