[Hiring] Medicare Cost Report Auditor III @BlueCross BlueShield of South Carolina

Role Description

Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources.

The Auditor position is a full-time (40 hours) remote position with a flexible schedule that can include working 4 days per week. This position has the ability to work from any US location.

What You'll Do:

• Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls.
• Identifies, documents, and evaluates business risks.
• Develops written audit programs.
• Conducts testing and analysis of existing controls to determine adequacy and effectiveness.
• Prepares written work papers to document testing results and conclusions reached.
• Documents issues, the causes of those issues, and their effects on the process/function and the corporation.
• Serves as Lead Auditor on more complex audit assignments.
• Drafts recommendations to limit risks and improve processes, functions, and activities.
• Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions, and recommendations.
• Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws, regulations, and management policies.
• Conducts testing of corrective actions as identified.
• Develops detailed reports on each audit conducted, including a review of findings and recommendations to correct deficiencies and methods for improvement.
• Examines and evaluates financial and information systems, recommending controls to ensure system reliability and data integrity.
• Conducts special audit studies for management, such as those required to discover controls for prevention of fraud.
• Prepares reports of findings and recommendations for management.
• Provides training to and assists or leads other auditors in completing their assignments to maximize audit efficiency.
• Strives to expand knowledge of applicable laws, regulations, program instructions, and technology through self-study, corporate offerings, and formal training programs.

Qualifications

• Bachelor's in a job related field.
• 5 years auditing experience.
• Knowledge of the principles and practices of auditing.
• Ability to analyze and determine the applicability of financial data, to draw conclusions and make appropriate recommendations.
• Ability to gather information by examining records and documents and to interview individuals concerning those records.
• Strong interpersonal skills and the ability to work professionally with persons at all levels.
• Ability to communicate clearly and effectively in oral and written form.
• Ability to handle sensitive matters on a confidential basis.
• Excellent analytical or critical thinking and problem-solving capabilities.

Requirements

• Microsoft Office.

Preferred Education

• Bachelors in Accounting/Finance or 12 credit hours.

Preferred Experience

• Lead auditor for Uniform Desk Reviews (UDRs) and complex hospital audits.
• Minimum 2 years of Medicare hospital cost report auditing experience.
• Expertise in Medicare Bad Debt and DSH cost report reviews, including sample selection and CMS-compliant testing.
• Skilled in Nursing and Allied Health Education (NAHE) legal operator determinations and add-on payment calculations.

Preferred Licenses and Certificates

• Certified Internal Auditor (CIA).
• Certified Public Accountant (CPA).
• Certified Information Systems Auditor (CISA).

Work Environment

• Typical office environment.
• Travel between office buildings and out of town may be required.

Benefits

• Subsidized health plans, dental and vision coverage.
• 401k retirement savings plan with company match.
• Life Insurance.
• Paid Time Off (PTO).
• On-site cafeterias and fitness centers in major locations.
• Education Assistance.
• Service Recognition.
• National discounts to movies, theaters, zoos, theme parks, and more.