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Cost Report Staff Auditor

One of the nation's leading provider of healthcare services, HCA Healthcare is made up of locally managed facilities that include approximately 300 hospitals and freestanding surgery centers in 20 U.S. states and in the United Kingdom. HCA Healthcare employs approximately 250,000 people and approximately 4-5% of all inpatient care delivered in the country today is provided by HCA Healthcare facilities. HCA Healthcare is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. 
The Internal Audit Department provides an independent appraisal function to validate management control systems and to support corporate management in the effective discharge of their responsibilities and efforts to achieve the Company's overall mission. The Medicare Cost Report Compliance Team test work is focused on ensuring cost reports are prepared in compliance with CMS regulations and HCA Healthcare Reimbursement Policies and Procedures. In addition, the Medicare Cost Report Compliance Team is responsible for the completion of Medicare bad debt reviews for the shared service centers that process billing and collection of Medicare patient accounts. The Cost Report Staff Auditor position will work on various audit engagements with team members at various levels and receive formal evaluations/feedback on job performance.    
CORE JOB RESPONSIBILITIES 
§  Routinely assists in the performance of Medicare Cost Report audit engagements under the direction of the Manager, Senior Manager, Director, or AVP. Under supervision, completes assigned sections of the engagements.
§  Demonstrates a general understanding of complex Medicare Cost Reporting and Reimbursement concepts, accounting and auditing concepts; discusses moderately complex issues with engagement team and client management; keeps informed of professional standards and Company/department policies and procedures.
§  Ensures that all procedures have been performed properly and the work performed and results are adequately documented, with exceptions and differences appropriately addressed.
§  Participates in entrance and exit conferences with facility and Reimbursement personnel for assigned audits.
§  Understands the objectives of an engagement and planned other services, and their role in the process.
§  Stays abreast of general business and economic developments and applies their understanding to identify areas of audit significance.
§  Assesses the degree of risk and the nature of the errors that could result from accounting estimates, identifies unusual or unexpected transactions and processes, and explains developments/matters to senior staff.
§  Executes procedures, such as understanding and evaluating significant sources of information, testing controls, and performing substantive procedures in moderately complex, judgmental and/or specialized areas.
§  Analyzes evidence, reaches conclusions, identifies issues, and proposes strategies for moderately complex issues, as well as makes decisions related to less complex issues related to the audit procedures that they execute.
§  Utilizes and enhances basic microcomputer skills including the department’s microcomputer-based audit tools.
§  Participates in meetings with the client engagement team and the client. Presents information to others in one-on-one and small group situations, such as verbal presentations to client personnel.
§  Interacts with client personnel and demonstrates a commitment to continually improve our client’s satisfaction.
§  Fosters teamwork by maintaining cooperative relationships with the client engagement team, contributing to a work environment that leads to high morale, productivity, and open communications, facilitating the resolution of conflicts, sharing information, and accepting and providing constructive feedback.
§  Maintains an education program to continually develop technical accounting, auditing, and management skills consistent with the department’s professional development requirements.
§  Assists with other educational and administrative matters (e.g. professional development programs, process improvement team initiatives, recruiting efforts, and special projects).
 
SPECIFIC TESTWORK PERFORMED
§  Review of Medicare Cost Reports (CMS and HCA Healthcare Regulations)
§  Review of Medicare Graduate Medical Education
§  Medicare Bad Debt procedures at Shared Service Centers
§  Special Projects
 
PROFESSIONAL/TECHNICAL SKILLS
§  Excellent verbal and written communication skills
§  Self-driven and motivated for continuous improvement and satisfying customer needs
§  Ability to multitask and work well with deadlines/related time pressures
§  Proficient with spreadsheet and word processing software
 
QUALIFICATIONS
§  0-2 years’ experience (Medicare Cost Reporting Auditing/Preparation preferred)
§  College Graduate (major in Accounting or Finance preferred)
§  Certified as a CPA, CIA, CFE, or equivalent or certification eligible
§  Ability to travel up to 30%