Provider Auditor II

* Position is Eligible for Remote / Work from Home Opportunity * Department: JE & JF Provider Audit Job Grade: E11 As a condition of employment physical work location must be in one of the 50 states or the District of Columbia. Notice of Collection & Privacy Policy for Applicants Residing in California: California Applicant Privacy Policy | Noridian (noridiansolutions.com) Job Title Provider Auditor II Job Summary The Provider Auditor is responsible for conducting Centers for Medicare & Medicaid Services (CMS) and other financial analysis, limited and full desk reviews, and in-house and on-site field audits to ensure proper reimbursement for health care providers for the Medicare programs.These positions are the face of Noridian interacting with providers/facilities management through the audit process which requires an advanced level of professionalism. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits. Essential Functions Key Duties/Responsibilities/Accountabilities Requires an intermediate level of working knowledge of Medicare rules, regulations (e.g., Code of Federal Regulations, Provider Reimbursement manual) to ensure reimbursement principles are properly applied to the Medicare Cost Report so that Medicare reimbursement is accurate Mentors Auditor I and Auditor II level staff by training, coaching, and providing constructive and positive feedback Identifies areas of opportunity, provides solutions and works towards implementation and/or training, documenting the updates and procedures for efficiency and process improvement Provides support and input for specialized and in-depth projects with increased complexity Resolves cost report reopening requests as assigned, reviewing documentation submitted to determine accuracy of the request and proposing applicable adjustments to the cost report Works with externally facing provid