The Audit Department at Cahaba Safeguard Administrators, LLC has associates working remotely in several states with physical offices located in Morrisville, North Carolina and Birmingham, AL. This unit is responsible for work related to audit, appeals and ad hoc projects for a subset of institutional providers located across the country. The audit sector conducts Medicare audits on provider cost reports to determine payment and calculates the final settlement determination on the audited cost reports. The audit area also handles cost report appeals and reopenings from various other Medicare contractors, as assigned by Centers for Medicare and Medicaid Services (CMS) and/or the Medicare Administrative Contractors (MACs).
The incumbent will perform work related to audits and appeals when assigned with minimal supervision. The incumbent will provide an advanced-level of instruction addressing questions and issued presented by subordinate associates. All work must be completed within budget allocations, as well as in a manner that meets or exceeds quality expectations and contracting requirements.
The work related to audits must be performed in accordance with Generally Accepted Accounting Principles (GAAP), Generally Accepted Auditing Standards (GAGAS), governing regulations, issued instructions, and internal policy and procedure manuals. Duties can include any one or more of the following tasks: requesting documentation; completing regulatory research; performing audit work; incorporating adjustments; and making recommendations for final settlement.
In addition, when appeals work is assigned, the incumbent will perform all work in accordance with all board policies, rules, procedures, timeframes, and instructions. Duties can include any one or more of the following tasks: drafting preliminary/final position papers; initiating discovery requests; handling reopening requests; completing jurisdictional challenges; and executing administrative resolutions.
The incumbent must continuously handle all information, documents, data, and interactions in a secure and confidential manner. Further, the incumbent must perform at all times in a professional manner as a representative of our subsidiary, the government, and other entities.
Over time, the incumbent is expected to develop and apply an appropriate level of knowledge, skills, and understanding of work at the Senior Auditor level in order to meet developmental goals and to be considered for potential promotion.
-Note: This position offers flexible scheduling and remote work arrangements. -
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