#LI-HW1 #LI-Hybrid Essential Functions and Primary Duties • Perform reviews of Medicaid provider cost reports • Perform on-site reviews of the charity care patient files of the New Jersey hospitals • Analyze health care provider financial information • Perform reimbursement calculations • Prepare written documents supporting professional decisions • Conduct desk reviews and various on-site audits • Conduct research in order to determine billing and reimbursement compliance with relevant Medicaid or other government program regulations • Conduct all phases of the audit including planning and research, risk assessment, fieldwork, reporting of findings, and other procedures as required • Review applicable Federal and State policies and regulations associated with each specific audit type prior to performing the audit • Prepare working papers to document scope and findings of audit in accordance with Medicaid or other government program regulations and AICPA standards • Demonstrate excellence in communication skills, data gathering, analysis, reporting, and process improvement • Maintain security and confidentiality of all protected health information when analyzing material • Maintain thorough electronic documentation • Additional responsibilities as assigned Preferred Qualifications • Master’s degree in accounting or related field • CPA or CPA candidate • Internship or equivalent working experience in accounting or related field • Experience with health care auditing and data analysis • Ability to review statutory/regulatory or other policy language and apply requirements • Strong analytical and problem solving skills • Strong verbal and written communication skills • Well organized with a high degree of accuracy and attention to detail • Effectively multi-task with planning and efficiency • Must be able to manage multiple deadlines and prioritize assignments • Proficient use of applicable technology; specifically Microsoft Office Applications (Excel, Word, etc.) • Ability to travel up to 30% based on client and business needs Minimum Qualifications • Bachelor’s degree in accounting or related field