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PARD Lead Auditor

Company: Novitas Solutions Inc
Location: Jacksonville
Posted on: April 8, 2021

Job Description:

Location Jacksonville, Florida, United States Category Compliance Full-time 23591 SUMMARY STATEMENT
The Provider Audit and Reimbursement Lead utilizes advanced knowledge of Medicare laws, regulations, instructions from the Centers for Medicare and Medicaid Services (CMS), and provider policies to perform desk reviews and audits of the annual Medicare cost reports, as well as interim rate review/reimbursement, and/or settlement acceptance/finalization for all provider types, including complex and organ transplant hospitals, as both a preparer and reviewer of work product based on established performance goals. The position will mentor and train Auditors and In-Charge Auditors and oversee daily workload of unit team.
ESSENTIAL DUTIES & RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary.--
Lead Accountabilities--
Coordinates with management by overseeing the unit's daily workload. Routinely uses independent judgment and discretion to make decisions for self and less experienced auditors with regard to additional time and procedures; identifies and raises errors to the attention of supervisor and/or provider and identifies and communicates actions to correct same. Prioritizes auditor work and ensures that audit work is completed on time. Recognizes data needs for self and other auditors; develops plan of work for less experienced auditors.-- Analyzes working papers and cost reports for errors.-- Reviews workpapers of auditors for correctness, control and adherence to Generally Accepted Accounting Practices (GAAP), Generally Accepted Accounting Standards (GAAS) and Government Auditing Standards (GAS) as required. Examines and reviews workpapers upon completion of the audit to ensure compliance with CMS Uniform Desk Review (UDR), policy, or technical direction and reflects proper reference, clear and concise conclusion of the major audit categories and assembly of working papers into logical sequence. Reviews, evaluates and approves the disbursement of tentative cost settlements in compliance with Federal and State Government regulations for each class/type of provider within area of responsibility.--
Develops technical competence and constructive work attitudes in self and less experienced auditors; strives to build an effective team and to develop the growth needs of individual members of his/her team.-- Coordinates the assignments and subsequent development of auditors based on their training needs; explains work to be performed and principle or objective of procedure; provides accurate and constructive coaching, mentoring, and training of team members. Identifies training needs within the team and/or department. Manages, implements and coordinates an internal quality control program in conjunction with the Internal Quality Control (IQC) department and provides reasonable assurance that PARD has established, as well as is following, adequate policies, procedures, and is following applicable auditing standards.-- Facilitates the development of Quality Management System (QMS) policies and procedures.-- Auditor Accountabilities--
Performs audit functions including those which are non-routine; keeps track of instructions for many projects simultaneously. Presents and defends adjustments and workpapers to provider with minimal consultation from manager.-- Coordinates large audits and/ or diverse audits independently while seeking help on truly unusual or major items.--
Uses professional communication techniques in own and auditor's work and in conclusions drawn from the work.-- Establishes and maintains constructive provider relations by demonstrating a professional approach, expressing positive corporate image. Advises providers on Medicare policy questions and directs non-PARD area questions to responsible departments or personnel.-- Conducts entrance and exit conferences and meetings away from office as needed.-- Perform other duties as the manager may deem necessary--
REQUIRED QUALIFICATIONS
--Bachelors'/Master's degree with a concentration/major in Accounting or Finance. Bachelor's/Master's degree in other fields can qualify if the candidate has 15 or more credit hours in specific Accounting or Finance classes. 4+ years' work experience in Medicare audit and/or reimbursement. Demonstrated oral and written communications skills Demonstrated ability to exercise independent judgement and discretion Demonstrated attention to detail PREFERRED QUALIFICATIONS
MBA
CPA
The Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) out of the last five (5) years to be employed with the Company. These years of residence do not have to be consecutive.
We are an Equal Opportunity Employer/Protected Veteran/Disabled

Keywords: Novitas Solutions Inc, Jacksonville , PARD Lead Auditor, Accounting, Auditing , Jacksonville, Florida

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