{"id":3329953,"url":"https://alion.io/job/noridiansolutions-senior-provider-auditor","title":"Senior Provider Auditor","company":{"id":4480515,"name":"Noridiansolutions","domain":"noridiansolutions.com","url":"https://alion.io/company/noridiansolutions","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":null,"truth_index":null},"role":"Finance","role_family":"Finance","seniority":"senior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"posting_text","remote_working_hours":{"label":"CET","utc_offset_min":1,"utc_offset_max":1},"hiring_geo_confidence":"inferred","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":59937,"max":98582,"currency":"USD","period":"year","gross":null,"usd_annual":98582},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false},{"name":"Outlook","optional":false},{"name":"HIPAA","optional":true}],"status":"live","first_seen_at":"2026-10-27T11:44:56Z","employer_posted_date":null,"last_verified_at":"2026-10-27T11:44:56Z","board_verified":false,"closed_at":null,"days_open":3,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":3},"description":"This a Full Remote job, the offer is available from: United States\n* Position is Eligible for Remote / Work from Home Opportunity*\nDepartment: Provider Audit\nTelecommuting Eligible: Yes\nJob Grade: E12\nAs a condition of employment, physical work location must be in one of the 50 states or the District of Columbia.\nNotice of Collection & Privacy Policy for Applicants Residing in California: California Applicant Privacy Policy | Noridian (noridiansolutions.com)\nJob Title\nSenior Provider Auditor\nJob Summary\nThe Provider Auditor is responsible for conducting Centers for Medicare & Medicaid Services (CMS) and other financial analysis, limited and full desk reviews, and in-house and on-site field audits to ensure proper reimbursement for health care providers for the Medicare programs. These positions are the face of Noridian interacting with providers/facilities management through the audit process which requires an advanced level of professionalism. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits.\nEssential Functions\nKey Duties/Responsibilities/Accountabilities\nPossesses and maintains a high level of working knowledge in Medicare rules, regulations (e.g, Code of Federal regulations, Provider reimbursement Manual) to ensure reimbursement principles are properly applied to the Medicare Cost Report so that Medicare reimbursement is accurate.\nMentors staff at all levels by training, coaching, and providing constructive and positive feedback.\nAssists with new and existing employee training on department techniques, desk review and audit methodologies, policies and procedures. \nProvides professional judgement, strategic insight, and guidance to Provider Auditor I and II’s using their knowledge, experience, and research to ensure quality control is adequate and minimize risk for the team and organization.\nPerforms less complex supervisory level reviews and coaches staff with feedback to strengthen their knowledge and skills to perform job functions effectively and efficiently.\nEnhances and maintains strong, professional working relationships with providers.\nRequires extensive knowledge of documentation requirements from audit testing through preparation of audit workpapers.\nProvides training to internal staff and participates in external outreach and education to the provider community.\nMust obtain a minimum of 80 CET hours every two years.\nNon-Essential Duties and Functions\nOther duties as assigned\nMinimum Qualifications\nBachelor's degree in Accounting, Business, Finance, or equivalent work experience\n3 years' Medicare auditing experience\nKnowledge of accounting theory and practices\nProficient in Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint)\nAdvanced knowledge of Medicare rules, regulations (e.g., Code of Federal Regulations, Provider Reimbursement Manual) to ensure the reimbursement principles are properly applied to the Medicare Cost Report so that Medicare reimbursement is accurate.\nPreferred Qualifications\nAbove requirements and the following:\nBachelor's degree in Accounting, Business or Finance\nExcellent written and verbal communication skills\nExcellent organizational skills\nAbility to coach, advise, and develop others\nDemonstrated understanding of industry and enterprise objectives\nExcellent presentation skills\nEnvironment and Cognitive/Physical Demands\nOffice Environment\nAbility to read, hear, speak, keyboard, reason, communicate effectively and problem solve\nRequires prolonged sitting and telephone use\nRequires the use of office equipment such as computer terminals, telephones, copiers and printers\nInfrequent lifting to 15 pounds\nInfrequent stooping\nSegregation of Duties\nEvery employee is responsible to perform their duties and responsibilities in accordance with Noridian values, policies and procedures, including but not limited to: Segregation of Duties Principles, HIPAA, Security and Privacy, CMS requirements, the Noridian Compliance Program and any other applicable laws, rules and regulations.\nStatement of Other Duties\nThis document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functions. Employees may be requested to perform job related tasks other than those specifically listed in this description and may be required to perform any task requested by the supervisor or management.\nTotal Rewards Package:\nHealth, Dental and Vision Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-paid Life Insurance, Education Assistance Program, Paid Sick Leave, Paid Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Severance Package, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, Open Office Setting, and Online Learning System.\nCMS Access Compliance and Regulation Contingency Statement\nSome positions require compliance with (i) federal and agency-specific regulations and federal contract requirements, and (ii) eligibility to obtain and maintain federal identity credentials and authorized access to government facilities, information systems, networks, sensitive information, or applications.\nTo obtain federal identity credentials and authorized access, employees in this position may be required, as a condition of employment, to successfully complete federal identity verification, federal background investigation and adjudication, credentialing, and access authorization processes in accordance with applicable federal requirements. Federal identity credentials and authorized access will not be issued to candidates who have not resided in the United States at least three (3) out of the last five (5) years.\nFailure to obtain and maintain eligibility for required federal credentials and access authorization may result in removal from the position or termination of employment.\nEqual Employment Opportunity\nQualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.\nThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)\nBelow is the salary range for potential new hires.\nSalary Range: The pay range for this position is $59,937.84 - $98,582.59 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.\nOther Compensation: Incentive Plan & Lifestyle Benefit\nThis job will be closed 11/02/2026 at 8:00AM CST. 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