The Oregon Health Authority is modernizing, expanding, and improving their Medicaid Program and currently has fantastic opportunities for seven Auditors with Healthcare experience to join an excellent team and work to advance their Medicaid operations.
What you will do:
As a Program Integrity Auditor you will be part of the OHA Fiscal and Operations Division and the Office of Program Integrity with a mission of assuring integrity of the Medicaid Program. In this position, you will perform the integral function of conducting compliance audits of providers participating in Medicaid programs. The audit function is designed to deter medical program fraud and abuse, and to monitor and ensure provider compliance with Federal, State, and Agency rules and regulations.
What's in it for you?
Collaboration in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year. If you are an Auditors with Healthcare experience, don't delay, apply today!
A Bachelor's degree in a business-related field, such as business administration, public administration, finance, economics, computer science, or a related field AND two years of auditing experience.
Twenty quarter hours of college courses in a business or financial field such as the areas listed above AND four years of auditing experience may substitute for the degree.
Successful completion of the duties and training as an Oregon Governmental Auditor (Entry) will substitute for one year of auditing experience.
• Extensive knowledge and experience in the following areas:
o Auditing techniques such as analytical review procedures, statistical sampling and other data mining methodologies.
o Treatment modalities, health care coding procedures and various practices within the medical provider community.
o Auditing procedures and data assessment for researching, writing and finalizing audits.
o State agency programs, public and commercial health insurance programs and the medical provider community.
o Applying medical terminology and health care coding procedures to auditing work
o Medicaid Program Integrity.
• Certification as a healthcare coder/auditor (i.e. CPC, COC, CIC, CPC-P, CPMA or other recognized certifications).
• Excellent customer service skills for both internal and external customers.
• Ability to demonstrate initiative and independent judgement on an on-going basis.
• Strong written and verbal communication and presentation skills.
• Willingness to collaborate, share information, and contribute to the team's success.
• Ability to work independently with minimal supervision.
• Experience promoting a culturally competent and diverse work environment.