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 assign.
• Analyzes and interprets data and makes recommendations for change based on their judgment and experience.
• Provides oversight and leadership of the Part A provider enrollment function as needed.

Requirements:

• a BA/BS and a minimum of 8 years of audit/reimbursement or related Medicare experience; or any combination of education and experience which would provide an equivalent background.
• Accounting degree preferred.
• Knowledge of CMS program regulations and cost report format preferred.
• Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred.
• Must obtain Continuing Education

Training requirements.

• MBA, CPA, CIA or CFE preferred. Demonstrated leadership experience preferred. A valid driver's license and the ability to travel may be required.