Job Title: MAG Audit Analyst
Location: Austin, TX
The MAG Auditor audits financial and statistical cost reporting data to accurately determine provider's reimbursement rates for processing of Medicaid claims
The MAG Auditor audits financial and statistical cost reporting data to accurately determine provider's reimbursement rates for processing of Medicaid claims. The MAG Auditor prepares and signs off on tentative and final cost settlements. Performs on-site field audits of children’s hospitals. Uses knowledge of compliance rules and regulations to propose adjustments to providers financial data or recommend changes to their policies and procedures.
Skills:- Accounting Degree preferred
- Auditing experience
- Advanced Client Excel Skills
- Excellent leadership, communication (written & oral) and interpersonal skills
Roles and responsibilities:- Prepares tentative and final cost settlements to accurately determine providers' reimbursement rates for processing Medicaid claims for hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
- Audits financial and statistical data to verify and monitor accuracy with government procedures.
- Uses knowledge of compliance rules and regulations to propose adjustments to providers’ financial data or recommend changes to their policies and procedures.
- Performs on-site audits (requires travel) Performs reconciliation for FQHC quarterly wrap payments.