Auditor Compliance Specialist
3 weeks ago
Job Summary:
We are seeking a highly skilled Auditor Compliance Audit professional to join our team at the University of Massachusetts Medical School. As a key member of our team, you will play a crucial role in combating fraud, waste, and abuse within the Medicaid program.
Key Responsibilities:
- Conduct independent data mining and data analysis to identify potential cases of FWA.
- Apply in-depth knowledge of federal and state regulations and healthcare industry standards.
- Develop reports of investigative findings and compile case file documentation.
- Communicate with providers regarding issues such as general regulatory compliance and audit findings.
- Identify and recommend policy, procedure, and system changes to enhance investigative outcomes and performance.
Requirements:
- Bachelor's degree in business administration, finance, or related field; or equivalent experience.
- 6-8 years of related experience in the healthcare industry, business, accounting, or finance.
- Knowledge of the principles and practices of medical auditing.
- Strong analytical and qualitative skills as well as problem-solving skills.
- Ability to multi-task, establish priorities, and work independently to achieve objectives.
Preferred Qualifications:
- Master's degree in Business Administration or Public Health.
- Knowledge of coding, reimbursement, and claims processing policies.
- Prefer individual possessing any of the following certifications or licensure: CFE, CPA, RN/LPN, CPC, or CPMA.
What We Offer:
As a member of our team, you will have the opportunity to work in a fast-paced environment and contribute to the success of our organization. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
How to Apply:
If you are a motivated and detail-oriented individual with a passion for compliance and auditing, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information].
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