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Audit and Reimbursement Job Family

NGS Audit & Reimbursement II,III or Sr – (PS34357)  Level: Job Family - Based on Experience- May be filled as a II, III or a Senior level
Work Location: Any NGS office or May Consider Remote
Responsible for coordinating all activities of an audit or reimbursement team in the initiation and completion of assignments which includes acceptance, tentative settlements, interim rate reviews, completion of the desk audit review, field audit or in-house audit, and the settlement process of the CMS cost reports.
Primary duties may include, but are not limited to:
  • Perform audit work on complex audits.
  • Evaluate the work performed by the audit staff to assess the technical accuracy and accuracy of work papers and financial data related to the cost report.
  • Review of wage index, MSP audits, complex exception requests and CMS change requests.
  • Assist the leads and managers in training and development of the staff on current CMS regulations.
  • Will support the Appeal Unit with appeal issues as assigned.
  • Participates in special projects and review of work done by lower level auditors as assigned.
  • Analyzes and interprets data and makes recommendations for change based on their judgment and experience.
  • Must be able to perform all duties of lower level positions as directed by management.
  • Provides oversight and leadership of the Part A provider enrollment function as needed.
NGS Auditor - PS35457
Work Location – NGS Locations:
Indianapolis IN,
Syracuse NY, 
Portland ME,
Richmond, VA
Qualifications
NGS Audit & Reimbursement II -
Requirements:
  • BA/BS degree, preferably in accounting; 2-5 years of audit/reimbursement or related Medicare experience; thorough knowledge of CMS program regulations and cost report format; knowledge of CMS computer systems and Microsoft Office Word and Excel; or any combination of education and experience, which would provide an equivalent background.
  •  MBA, CPA or CIA preferred. 
NGS Audit & Reimbursement III -
Requirements:
  • Requires a BA/BS degree, preferably in accounting; 5-7 years of audit/reimbursement or related Medicare experience; thorough knowledge of CMS program regulations and cost report format; excellent knowledge of CMS computer systems and Microsoft Office Word and Excel; or any combination of education and experience, which would provide an equivalent background. MBA, CPA or CIA preferred.
  • Must obtain Continuing Education Training requirements (where required).
  •  A valid driver's license and the ability to travel may be required
NGS Audit & Reimbursement SR -
Requirements:
  • Bachelor degree required; Bachelor degree in Accounting preferred. MBA, CPA, CIA or CFE preferred. 8 + years audit/reimbursement or related Medicare experience required.
  • Must obtain Continuing Education Training requirements. Demonstrated leadership experience preferred. Thorough knowledge of CMS program regulations and cost report format required.
  • Excellent knowledge of CMS computer systems and Microsoft Office Word and Excel required. Must be able to lift up to 25 pounds.
  • Must have a valid driver's license and the ability to travel is required
The skills/competencies listed below are preferred but not required:
  • Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) or CPA Eligible
  • Knowledge of Medicare Part A Laws, regulations, program manuals and audit policies
  • Knowledge of CMS computer systems
  • Knowledge of the Medicare cost report