As a Provider Auditor Intern, you will assist in reviewing cost reports from providers (hospitals, nursing homes, renal dialysis facilities, clinics, etc.) that received reimbursement for Medicare Services. Provider Auditor Intern activities may include exposure to settlement and/or audit functions by being trained to process the acceptability of annual Medicare cost reports, to accurately and timely process final settlement of less complex healthcare providers (non-hospitals), and by assisting experienced Auditors in preparing for audit engagement and in completion of Desk Reviews and Audits. Incumbents will receive formal training and regular exposure to leadership to gain meaningful insight into Provider Audit Department operations and responsibilities of an exempt Provider Auditor.

ESSENTIAL DUTIES & RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary.

• Performs modified desk reviews and limited desk reviews of cost reports for SNF (Skilled Nursing Facilities), ESRD, and FQHC/RHC providers that receive Medicare reimbursement. Generates and customizes all required internal and external correspondence and checklists to facilitate implementation and evidence of the completion of the desk reviews.
• Processes Cost Report Acceptance of less complex healthcare providers including SNF, ESRD, CMHC, RHC, and Home Office cost statements which includes acceptance or rejection. May determine rejections but must be approved by Team Lead or above.
• Responsible for reviewing and interpreting cost reporting instructions, CMS instructions, and any Technical Direction Letter (TDLs) issued by CMS to make an informed decision on any discrepancies. Must gain high level staff approval.
• Assists PARD Auditors in preparing for engagements by preparing and maintaining working papers, the form and content of which are designed to meet the circumstances of the particular audit assigned. Involves data input into working paper files, data preparation, and data gathering for further review.
• Assists PARD Auditors in completing Desk Reviews-Hospitals and S10 Audits-Hospitals by preparing and maintaining working papers, the form and content of which are designed to meet the circumstances of the particular Desk Review or S10 Audit assigned. Involves data input into working paper files, data preparation, and data gathering for further review.
• Resolves discrepancies and may communicate with a variety of administrative and professional employees within and outside the organization.
• Performs other duties as the supervisor may, from time to time, deem necessary.

REQUIRED QUALIFICATIONS

• Currently enrolled at an accredited college or university (full or part-time) in Accounting, Finance or related field
• Knowledge of basic accounting principles and audit procedures
• A minimum 3.0 GPA
• Basic proficiency level with Microsoft Office applications such as Excel, Word, and Outlook
• Effective oral, written, and interpersonal communication skills
• Effective organization skills
• Ability to follow policies and procedures pertaining to company nonexempt employees – e.g., adhering to time keeping standards

The Federal Government and the Centers for Medicare & Medicaid Services (CMS) require all employees of federal contractors to provide documentation of being fully vaccinated against COVID-19 unless legally entitled to a medical or religious accommodation. They may further require applicants to have lived in the United States for a minimum of three (3) out of the last five (5) years to be employed with the Company. These years of residence do not have to be consecutive.

"We are an Equal Opportunity Employer/Protected Veteran/Disabled"