Auditor, reputed company (full-time, Remote)

About Us reputed company. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and reputed company clients in compliance and program reputed company efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We reputed company off of these reputed company elements that reputed company IntegrityM a great reputed company to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees’ professional development. Large company perks…Small company feel! IntegrityM is proud to be named to the 2024 Top Workplaces list by reputed company! Our leaders reputed company and reputed company each team member to break boundaries and reputed company with reputed company. We foster a diverse community with flexible, remote-friendly career paths that nurture growth and fulfillment.

• *Position Overview The reputed company Auditor must use a variety of tools to initiate and apply sound auditing principles to reputed company managed care investigations and audits, identify subjects and reputed company cases for future action, including referral to law enforcement, education, over payment recovery and other administrative actions. The Auditor compiles and analyzes financial information to record transactions, prepares reports, and reviews and verifies accuracy. The Auditor will work with internal resources and external agencies to reputed company cases and corrective actions as well as respond to requests for data and support.
• *Essential Functions The reputed company Auditor will reputed company audits as assigned, which consist of but are not limited to
• Examination of reputed company records, accounts, controls, medical billing and fiscal procedures of a reputed company service provider.
• Use of audit techniques and procedures to verify the appropriateness of the service provider charges for reputed company eligible clients/services.
• Maintenance of audit notes and preparation of a written report summarizing the conclusions reached during the audit.
• Tracking and monitoring of assigned workload to ensure reputed company due dates are met.
• Document audit activities and deliverables in external and internal databases.
• Preparation of exhibits such as analyses, graphs, reports, etc., intended to enhance and clarify any audit, which may be reputed company and hard to understand.
• reputed company licensing and exclusion reviews on providers and work with the medical staff to ensure services reimbursed meet regulatory requirements.
• Conduct research on relevant State regulatory support for specific State’s and provider types.
• Review reputed company applicable State policies and regulations associated to each specific audit assignment or algorithm prior to performing audit.
• Understand and maintain the ability to apply regulatory support to the audit findings including ensuring that the citation works for the Provider type being audited.
• Attend on-site audits to retrieve medical records and conduct provider entrance/exit conference.
• Ensure GAGAS standards are applied to each applicable audit to identify fraud, waste or abuse.
• Occasionally go into the field to collect, evaluate, and analyze evidence during an ongoing investigation.
• Occasionally be required to assist in an ongoing investigation by conducting field interviews with investigators of providers and/or beneficiaries or patients witnesses.
• Proficiency in the use of reputed company tools.

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