Medicaid Auditor / MAG Auditor Job at MMC Group LP (Austin)

Job Description

We are seeking a detail-oriented and analytical Medicaid Auditor / MAG Auditor to support financial and statistical cost reporting audits tied to Medicaid reimbursement programs. This role is responsible for auditing provider cost reports, validating financial data accuracy, and preparing reimbursement settlements for healthcare providers including hospitals, Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs).

Job Responsibility

Prepare tentative and final cost settlements to determine accurate Medicaid reimbursement rates
Audit financial and statistical provider reporting data for accuracy and compliance
Review hospitals, Rural Health Clinics, and Federally Qualified Health Centers reimbursement submissions
Analyze provider financial documentation and identify discrepancies or reporting issues
Recommend adjustments to provider financial data based on compliance regulations and audit findings
Evaluate provider policies and procedures and recommend corrective actions when needed
Conduct onsite field audits at children's hospitals and other healthcare facilities
Perform reconciliation activities related to FQHC quarterly wrap payments
Maintain accurate audit documentation, reporting, and supporting records
Collaborate with internal teams and external providers to resolve audit findings and reimbursement issues
Ensure adherence to Medicaid guidelines, government regulations, and audit standards

Requirements

Bachelor's degree in Business, Finance, Accounting, Healthcare Administration, or related field
Strong Microsoft Office skills, including Excel and data management functions
Excellent time management and organizational skills
Strong analytical and problem-solving abilities
Team-oriented mindset with the ability to work independently in a remote environment
Strong attention to detail and accuracy

Nice to have

Degree in Accounting or Finance
Previous auditing or healthcare reimbursement experience
Advanced Microsoft Excel skills including formulas, pivot tables, and data analysis
Experience with Medicaid cost reporting or government healthcare programs
Strong written and verbal communication skills
Leadership and interpersonal skills

What we offer

Medical, dental, and vision coverage
Life and disability insurance
Additional voluntary benefits

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