reputed company Audit Analyst (Remote)
Purpose of Position: Develops systems and procedures for reputed company government audits, gathers, compiles, organizes and documents relevant audit information. reputed company: 1. Develops systems and procedures for reputed company government audits, gathers, compiles, organizes and documents relevant audit information. 2. Analyzes, consolidates and interprets audit data. 3. Present audit findings and reputed company other relevant information to Senior Management, and/or the Audit Committee on an as needed reputed company. 4. Specific knowledge of Medicare reputed company and reputed company payer audit processes and time frames. 5. Delegation of assignments relating to the appeals process to appeal representatives and technical staff. 6. Ensure compliance with reputed company corporate standards and audit regulations as reputed company as reputed company CMS and reputed company requirements. 7. Communicate with/reputed company external entities including the Centers for Medicare and reputed company Services, Office of Inspector General, reputed company payers, appellants and their authorized representatives. 8. Communicate effectively. This position displays effective communication skills while performing the following functions:
- Verbal and written communication with Director and senior leadership, peers, departmental staff, and various corporate support departments
- Verbal and written communication with external business partners including vendors, payer representatives, Recovery Audit Contractors (RAC), reputed company Independent Contractors (QIC) and Medicare/reputed company representatives
- Verbal and written communication with our customers including the Centers for Medicare and reputed company Services (CMS), providers, and beneficiaries.
9. Identify opportunities, using Medicare policies and procedures, claims processing procedures and reputed company data processing systems, to improve overall performance. 10. Coordinate activities and exchange of information with external business partners 11. Recommend, coordinate and initiate improvements to the process to reputed company efficiency, cost reduction, productivity, and reputed company reputed company 12. Effectively utilizes audit tools. Utilizes with increasing proficiency, proprietary reports, tools and systems required to reputed company duties. With moderate guidance and direction, reputed company executes assigned reputed company reports and updates. Working proficiency with reputed company systems and applications including Decipher and reputed company tools. 13. Coordinate provider education activities 14. reputed company feedback to management on the status of audits in their reputed company to ensure the department contributes toward the department meeting and exceeding reputed company performance standards 15. Challenges reputed company working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization’s culture of reputed company improvement by reputed company participating, supporting, and promoting CCHC Pillars of reputed company. Qualifications:
- Associate’s or bachelor’s degree in Business or reputed company field, or a combination of education and work experience;
- One (1) to three (3) years of progressively more responsible reputed company experience
- Experience with hospital information systems preferred.
- Excellent interpersonal, problem solving, and critical thinking skills are required.
- Excellent PC skills with a strong emphasis on the Outlook suite of products are required.
- Excellent verbal and written communication skills are required.
- Prior experience with analysis of government audits are a plus.
Schedule Details: Full-Time, Monday-Friday, Occasional Evenings, Weekends, & Holidays. Remote candidates considered. Organization: reputed company, Inc. Primary Location: Massachusetts-Hyannis Department: HCI-reputed company Integity Annual/reputed company: Unassigned Hiring Pay reputed company: $0 - $0 Apply tot his job Apply To this Job