Auditor IV and Auditor IV - Reimbursement

**PLEASE APPLY FOR THESE POSITIONS AT OUR WEBSITE, WWW.FCSO.COM**

**MULTIPLE POSITIONS LOCATED IN TAMPA, FL AND JACKSONVILLE, FL**

**NO RELOCATION BENEFITS WILL BE OFFERED WITH THESE POSITIONS**

The primary business of First Coast Service Options, Inc. is administering programs that serve Medicare beneficiaries. We focus on customer service, continuous improvement, and compliance. Our employees are committed to living by the values: The right things, the right way.

Job Duties:

Job duties include but are not limited to:

Auditor IV

*Understands most audit functions including those which are non-routine; keeps track of instructions for many projects simultaneously
*Demonstrates ability to handle problems of large audit or diverse audits
*Makes decisions for self and auditor with regard to additional time and procedures; brings errors to the attention of supervisor and/or provider
*Ascertains auditors complete work in time allotted
*Presents and defends position to provider with minimal help from supervisor
*Builds constructive provider relations
*Assigns and develops auditors based on their training needs

Auditor IV - Reimbursement

*Establish Medicare part A interim rates for various provider types based on current Medicare laws, regulations, and program instructions to ensure that payments approximate final program liability within established CMS ranges
*Assist in the timely and appropriate tentative settlement for various providers in compliance with Medicare regulations
*Assist in timely recovery of program overpayments
*Reduce the risk of uncollectible accounts for providers who are overpaid
*Consult providers as necessary
*Request interim rate data and assist provider as necessary for timely completion of interim rate reviews
*Enter pricing information


Job Requirements:

Auditor IV

*College degree or equivalent education, training or related work experience. (3 or more years directly related work experience)
*1-2 years experience in Medicare auditing
*Minimum of 80 hours of continuing professional education every two years


Auditor IV - Reimbursement

*In-depth knowledge of Medicare Laws, Regulations, and Program Instructions
*Excellent communication skills
*Competent in the use of software applications
*Medicare auditing or reimbursement experience