The NGS Audit & Reimbursement II position is part of the Medicare Administrative Contract (MAC) with the Centers for Medicare and Medicaid Services (CMS). This position will support the Medicare part A Audit & Reimbursement department. This includes, but not limited to, processing provider submitted Medicare cost reports. The intent of this position is to support the Medicare cost report desk review and audit workload, however it requires the ability to support all functions within the Audit & Reimbursement department. These functions include but not limited to: Cost report acceptance, tentative settlements, rate reviews, desk reviews, audits, final settlements, re-openings, appeals and other compliance/reimbursement review.
Primary duties applicable to the Medicare cost report desk review and audit workload include, but are not limited to:
Review Medicare cost report desk reviews and audits
Perform both level 1 and Level 2 (supervisory review) as assigned, emphasis towards Level 1
Analyze and interpret data with recommendations based on judgment and experience
To provide effective communication with providers and team members
Must be able to perform all duties of lower level positions as directed by management
Participate on special projects as needed
Work Location NGS Locations: Indianapolis IN, Syracuse NY, Portland ME,
Denison TX, Richmond VA
Requires a 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.
Must obtain Continuing Education Training requirements (where required).
A valid driver's license and the ability to travel may be required.