External Auditor 1

    Highlights

    Professional Skills: Attention to Detail, Analyzation, Collaboration, Critical Thinking, Goal Setting, Interpreting Data, Priority Setting, Results Oriented, Verbal Communication, Written Communication. Working collaboratively with other BPI reviewers and/or ODM professionals to analyze provider payment claims and coding to identify potential of fraud, waste, and abuse.

    Numbers & Facts

    LocationOhio, IL

    Description

    What You Will Do At ODM:

    Office: Legal Counsel

    Bureau: Program Integrity

    Working Title: External Auditor 1 (PN:20042146)

    Job Overview:

    The Ohio Department of Medicaid is seeking a candidate with an interest in auditing to be a part of our Provider Compliance unit. The Provider Compliance unit is part of Program Integrity (BPI) which focuses on fraud, waste and abuse related activities. This position is located in Franklin County and will require travel to provider sites. As an External Auditor 1, your responsibilities will include:

    • Conducting routine financial, compliance and operational audits
    • Operating accounting and auditing software (e.g. spreadsheets, word processors, databases)
    • Analyzing confidential records and information stored in the department's various data systems
    • Working collaboratively with other BPI reviewers and/or ODM professionals to analyze provider payment claims and coding to identify potential of fraud, waste, and abuse
    • Analyzing health care providers records related to billing activities and the quality of care when conducting on site reviews
    • Preparing audit reports and recommendations for corrective actions plans
    • Maintaining favorable relations with internal and external customers

    3 yrs. exp. in auditing or accounting which must have included 18 mos. auditing exp. in accordance with auditing standards or in accordance with prescribed management policies &/or procedures as specified on agency position description.

    • Or completion of undergraduate core coursework in accounting, business administration, computer science or related field; 12 mos. exp. in auditing or accounting which must have included auditing.
    • Or equivalent of Minimum Class Qualifications for Employment noted above.

    Job Skills: Auditing

    Technical Skills: Auditing; Accounting and Finance

    Professional Skills: Attention to Detail, Analyzation, Collaboration, Critical Thinking, Goal Setting, Interpreting Data, Priority Setting, Results Oriented, Verbal Communication, Written Communication

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