Auditor Ii
Current• Perform internal/external compliance and control of divisions, departments, providers, and corporate activities.• Collect, document, and analyze data using provider documentation, PS&R, HIGLAS, STAR on CMS to detect financial deficiencies such as duplicates, frauds, non-compliance with laws, regulations, and management policies. • Conduct testing of corrective actions identified during UDR, S10, and Wage Index reviews for Medicare auditing purposes that evaluate business risks and reject or approve Reopening based on additional findings of settled CR. • Manipulate HFS data on PS&R reconciliation using provider crosswalks to properly make adjustments to Medicare Auditor following CMS, provider policies, and company guidelines, including additional adjustments found in reviews. • Conducts special audit studies such as controls for prevention of fraud using reports of findings and recommendations for management.• Communicate internally and externally using Microsoft Teams and MS Outlook to share, obtain files, postings, instant message, the like. • Mentor colleagues in completing audits to maximize efficiencies and reduce lost time in corporate personnel.