Provider Auditor I
Core
Conduct financial reviews and audits of provider cost reports to ensure accurate Medicare reimbursement and identify financial risks.
Role type
Mid-level IC provider auditor
Builds
Audit reports, corrective action plans, and adjusted cost reports for Medicare programs
Domain
Healthcare + Financial Audit
Required skills
Financial analysis, audit methodology, regulatory compliance, stakeholder communication, Microsoft Office proficiency, risk assessment
Preferred skills
Healthcare auditing experience, process improvement initiatives
Technologies
Microsoft Office (Word, Excel, Outlook, PowerPoint)
Responsibilities
Initiate, plan, conduct, and finalize audits of provider cost reports; Determine appropriate scope and testing requirements; Conduct financial analysis, desk reviews, and field audits; Exercise independent judgment on audit findings; Prepare and issue corrective action plans and adjustment reports; Communicate audit findings to internal and external stakeholders.
Seniority
Mid-level, hands-on IC
