Auditor Jobs in Swatara, PA

- 42 Jobs
All
Auditor
Senior Auditor
Staff Auditor
Information Technology Auditor
Audit Internship
Internal Auditor
Auditor Supervisor
Inventory Auditor
Staff Accountant/Auditor
Account Auditor
Payroll Auditor
Quality Control Auditor
Senior Internal Auditor
  • Coding Auditor Educator

    Highmark Health 4.5company rating

    Auditor Job In Harrisburg, PA

    Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines **ESSENTIAL RESPONSIBILITIES:** + Plans and \conducts audits and reports on the documentation, coding and billing performed at AHN entities. Reviews, develops and delivers training programs and educational materials to address deficiencies identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external audit findings and responds as needed. Attends meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare appeal letter follow up and identify education issues. (20%) + Develops audit detail summary spreadsheets and reports to address any coding, documentation, financial impact and profitability. Conducts education/training or works with external resources to present final audit findings to department staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%) + Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify patterns, trends and variations in the facilities frequently assigned DRG/APC groups. Once identified, evaluate the cases of the change or problems and takes appropriate steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the DRG and APC. (10%) + Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding guidelines and regulatory requirements. (10%) + Performs other duties as assigned or required including training/mentoring of new staff, performing audits and research related to special projects and providing coverage for coding manager(s). (10%) + Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff education programs. Establishes and monitors performance and maintains appropriate documentation thereof. (10%) + Other duties as assigned. **QUALIFICATIONS:** Minimum + High school diploma / GED + Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) + AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. (Internal transfer and promotion candidates may have a minimum of 3 years experience) + In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure, National Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective payment system and Coding Clinic references. Current working knowledge of encoder, grouper, abstracting and other related software. + Strong analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong education/training background in coding and reimbursement **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $25.85 **Pay Range Maximum:** $40.18 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J259988
    $25.9-40.2 hourly 60d+ ago
  • Auditor

    Rolka Loube

    Auditor Job In Harrisburg, PA

    Reports To: Director of Audits Term: Full Time Overview: The Auditor will be responsible for conducting audits related to contracted programs and entities. As the Administrator of the government programs, Rolka Loube is responsible for conducting annual audits of program providers, program contributors, and other agencies. Additionally, Rolka Loube is subject to several other audit requirements including FISMA, IPERIA, and an A-123 and other external audits. The Auditor will be required to interact with Provider staff and management and employees as well as Rolka Loube staff and management. The Auditor will be assisting in all phases of an audit from planning through report distribution and follow-up of findings and recommendations. Responsibilities: Ensure that all required audits are completed in accordance with generally accepted government auditing standards (“GAGAS”) in a timely manner and by required due dates. Conduct meetings with provider management, Rolka Loube management, advisory council, and other parties with respect to various audit issues. Follow policies and procedures relevant to the audit function. Represent Rolka Loube at advisory panels, seminars, meetings, and legal proceedings, particularly those involving cost reporting and audit issues. Assist in preparing audit workpapers and audit reports in accordance with documentation policies and standards in the Audit Manual. Sign off on all work papers. Assist in the preparation of detailing findings and recommendations for inclusion in audit reports. Complete continuing education that meets the Yellow Book requirements and report training in the CPE database. Complete other assignments as needed. Qualifications and Education: College graduate, bachelor's degree in business field (accounting, finance, management) preferred or equivalent experience CPA or CIA credentialled preferred Ability to apply audit techniques and use audit tools effectively. Knowledge of auditing standards including generally accepted government auditing standards Ability to conduct research of complex subject areas related to the programs under audit. Excellent mediation and problem resolution skills Ability to learn and operate Rolka Loube's proprietary software and systems. Ability to work both individually and as a team when appropriate. Ability to maintain confidentiality. Excellent knowledge of technology to include computers and software programs (Outlook, Teams, Excel) Ability to follow company policy and understand any rules or regulations governing the work being completed. The person holding this position must remain current with all required licensing, certifications, and continuing education requirements necessary for the position. Excellent oral and written communication skills Good organizational skills Good time management skills Good decision-making skills Education Substitutions: Master's Degree may be substituted for two years of required experience with a bachelor's degree. Bachelor's Degree may be substituted for four years of required experience with a H.S. Diploma. Associate Degree may be substituted for two years of required experience with a H.S. Diploma. Direct Reports: None To view and apply for any open job positions with Rolka Loube, please visit ******************************* EEOC Statement: Rolka Loube is proudly an equal employment opportunity and equal professional advancement employer. Employment decisions at Rolka Loube are based on merit, qualifications, and abilities. It is our policy that Rolka Loube does not discriminate in employment opportunities on the basis of race, religion, color, sex, age, marital status, national origin or ancestry, citizenship, physical or mental disability, sexual preference/orientation or veteran status with regard to any position or employment for which the applicant or employee is qualified.
    $45k-73k yearly est. 60d+ ago
  • Audit Supervisor

    Smith Elliott Kearns & Company 3.6company rating

    Auditor Job In York, PA

    Full-time Description Are you an experienced audit professional looking to take the next step in your career? Are you looking to be part of a firm that values work-life balance while providing opportunities for professional growth? At SEK, you'll find just that especially if you are… Client-Centered: Builds trust and delivers value through clear insights and recommendations. Organized & Accountable: Manages multiple engagements efficiently while meeting deadlines. Solution-Oriented: Identifies risks and provides practical recommendations. Supportive Mentor: Provides guidance and development opportunities for audit staff, fostering growth and success. Resourceful Problem-Solver: Tackles complex audit challenges with critical thinking. As an Audit Supervisor you are responsible for participating in client meetings presenting deliverables, developing proposals and preparing straightforward and concise work documents. This role reports to variety of CRM's for their client assignments including Members and Managers and requires collaboration across multiple office locations and team members. Travel to client sites is necessary to support engagements and maintain strong relationships. A Day in the Life of an Audit Supervisor... Lead Audit Engagements: Plan, coordinate, and oversee audit engagements, ensuring compliance with firm policies and professional standards. Perform Audit Procedures: Execute audit procedures in accordance with firm policies and professional standards, ensuring accuracy and compliance. Review Workpapers & Reports: Examine audit workpapers and financial statements for accuracy, completeness, and adherence to GAAP, GAAS, and other regulatory requirements. Mentor & Develop Staff: Provide coaching, feedback, and training to audit staff, fostering professional growth and technical development. Client Relationship Management: Serve as the point of contact for clients, addressing concerns, providing insights, and maintaining strong relationships. Risk Assessment & Planning: Identify audit risks, develop audit strategies, and implement procedures to ensure thorough and effective audits. Process Improvement & Innovation: Recommend and implement process improvements, leveraging technology and data analytics to enhance audit efficiency and quality. Regulatory Compliance & Research: Stay current on accounting and auditing standards, ensuring engagements comply with evolving regulations. Budget & Engagement Management: Monitor engagement budgets, timelines, and resource allocation to ensure profitability and efficiency. Requirements Bachelor's or Master's Degree in Accounting 4+ years' public accounting experience. CPA License achieved or in process of achieving. Leadership experience and desire to participate in leadership opportunities. Ability to manage priorities and workflow. Ability to deal appropriately with confidential information and to demonstrate a high level of professionalism. Strong community orientation. Ability to reason intelligently and use sound judgment. Professional demeanor towards duties and responsibilities, particularly with regard to independence, professional ethics, and the exercise of professional judgment. Why should you join SEK? Our firm offers team members an excellent career track along with a professional and growth-oriented work environment. We offer flexible schedules, study time, and reduced hours in the summer in order to support employee needs to balance their personal and work life. We value our community and offer paid time on the clock to volunteer. In addition, we strive to provide and maintain a positive work environment where each employee feels encouraged to contribute to our processes, decisions, planning, and culture. SEK CPAs & Advisors Benefits & Perks: 3+ weeks of PTO Flexible schedules (including half-day Fridays in the summer) Teleworking Dress for your day policy (jeans included) 401k profit sharing plan Tuition Reimbursement Program Individual Medical Insurance covered by SEK Check out SEK Team Member Benefits by going to: *************************** About Us: At SEK CPAs & Advisors, we don't just provide accounting services - we create value and foster trust. What over 60 years ago as a small, three-partner firm in Maryland has grown into one of the premier CPA and advisory firms in the area. With offices in Camp Hill, Carlisle, Chambersburg, Hanover, and York, PA, as well as Hagerstown, MD. The firm is proud to be built on a foundation of integrity, responsiveness, empowerment, quality of life, and community. We believe industry-focused, high-performing teams are essential to delivering high-quality and innovative solutions to our clients. Therefore, continuous learning, leadership development, and integrating work-life flexibility are critical components of our strategic plan. At SEK, successful client service experiences are achieved by providing multiple services, frequent and ongoing communication, and a forward-thinking approach, thereby becoming a trusted business advisor throughout the lifecycle of a business or organization. EOE STATEMENT - We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex or gender, national origin or ancestry, age, physical or mental disability, marital status, sexual orientation, gender identity, genetic information, veteran status, or any other characteristic protected by law. Find Your Path. Join SEK! Salary Description $83,000 - $106,000
    $83k-106k yearly 60d+ ago
  • Experienced Staff Auditor

    Maher Duessel 3.3company rating

    Auditor Job In Lancaster, PA

    We are currently seeking Experienced Staff Auditors to join our Lancaster office. Successful candidates will enjoy minimal out of town travel and great work-life balance. Maher Duessel offers quality experience working with well known clients, as well as a competitive compensation and benefits package. Qualifications: Should have sat for at least two parts of the CPA exam Have demonstrated an ability to communicate with the client Have demonstrated an ability to work independently Proficiency of Microsoft applications (e.g. Excel, Word, Outlook, etc.) Proficiency of firm technology, including the use of Caseware, RIA Checkpoint, and CCH Ability to adapt to job requirements, including some travel Reliable transportation Adaptability to work schedule, including hours beyond the standard work day as needed Minimum of 1 year of accounting experience Responsibilities: Display a strong work ethic and ability to interact with clients and other firm employees Stay informed of current developments relevant to the government and non-profit industries Communicate to audit team leader the audit status and issues encountered while performing assigned tasks Identify potential risks and bring them to the attention of the Senior Auditor, Audit Supervisor or Manager Contribute ideas/opinions to the engagement and listen/respond to other team members' views Work independently without the daily supervision of the Senior Auditor, Audit Supervisor or Manager Accept assignments by audit area(s) and complete assignments in a timely manner Examine procedures used in the past and attempt to enhance audit techniques Understand and prepare basic financial statements Recognize a need for increased amount of overtime to complete assigned tasks and assist audit team in completing engagements Actively work towards passing the CPA exam About our Firm: Maher Duessel is a leading regional CPA firm that was founded to provide high-caliber audit, tax, and consulting services to clients in the governmental and non-profit sectors. Since 1989, Maher Duessel has offered the personalized service of a regional accounting firm while providing the technical and regulatory knowledge of a national accounting firm. With offices in Pittsburgh, Butler, Harrisburg, State College, Erie, and Lancaster, we have the largest staff dedicated solely to governmental, non-profit, and Single Audit issues in Pennsylvania. Our mission statement, Pursuing the Profession While Promoting the Public Good, reflects our passion and commitment to providing expert technical services while helping our clients further their own missions. The firm has been recognized for the past several years, including in 2023, by the Central Penn Business Journal as one of the Best Places to Work in Pennsylvania and named one of the Fastest Growing Companies by the Pittsburgh Business Times. Maher Duessel provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. We comply with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
    $49k-58k yearly est. 21d ago
  • Audit/Tax Senior

    Novogradac & Co. LLP 4.6company rating

    Auditor Job In York, PA

    Novogradac & Company LLP is searching for a Senior Accountant to join our fast-growing firm. The Senior Accountant will manage a variety of tax, audit and other assignments as designated by the Manager. At this level, the Senior Accountant should function with minimal supervision, and increased focus is placed on supervising and mentoring Staff, independent problem solving, strengthening client relationships and increasing team profitability. Some positions at Novogradac may be open to remote or hybrid work arrangements depending on business needs. Please discuss available options with your recruiter. Your Contributions and Responsibilities * Complete tax and/or audit projects for designated clients as directed with minimal oversight by Managers * Conduct thorough engagement reviews * Accept increasing responsibility for engagement management * Recognize potential problem areas during engagements and propose effective solutions * Conduct business-specific research - gather and analyze data, interpret results, compile reports and make recommendations * Develop, strengthen and maintain effective client relationships through professionalism, responsiveness and service-oriented approach * Enhance skills in the industries the Firm focuses on by seeking out and completing training courses * Increase the team's profitability by managing your time and the time of Staff efficiently, contributing ideas and adding value * Supervise and mentor Staff Accountants * Other duties and projects as assigned * If not already obtained, work toward obtaining a CPA license Your Background and Skills * Exhibit a strong understanding of accounting and tax rules * Excellent verbal and written communication skills * Demonstrate a level of intellectual curiosity * Perform work accurately and in a time-efficient manner with strong attention to detail * Strong organizational and follow-through skills * Ability to effectively prioritize a fast-paced and varied workload, effectively manage a variety of concurrent and shifting priorities * Ability to accept constructive feedback from management and make adjustments as directed * Ability to work collaboratively and foster a productive, team-oriented environment * Strong computer skills, including solid skill in the Microsoft Office suite (particularly Excel) and report writing tools * Maintain a professional demeanor with coworkers and clients * Ability to meet internal Firm deadlines (time entry, billing, etc.) * Available to work evenings and weekends based on position needs and to travel domestically if required Your Qualifications Bachelor's degree, preferably in accounting or finance (advanced degree is a plus), and 3-5 years of experience in public accounting and/or appropriate balance of education and work experience. Ability to sit for the CPA exam or passed section of the CPA. CPA license a plus. Experience with any of the following is helpful but not mandatory: Affordable Housing, Low Income Housing Tax Credits (LIHTC), Opportunity Zones (OZ), Renewable Energy Tax Credits (RETC), Historical Tax Credits (HTC), Housing and Urban Development (HUD), New Markets Tax Credits (NMTC), Real Estate, Developers, Partnerships, Housing Authority (HA), Public Housing Authority, Community Development Financial Institutions (CDFI), Community Development Entity Certification Applications (CDE), Property Compliance, Nonprofit, Single Audit, Uniform Guidance, A-133, Forecasting, Cost Segregation, Year 15 Exit, Tax-exempt bond and HOME programs. Why work with us? Our firm is committed to providing our people with opportunities to excel professionally. We believe in the importance of a welcoming work culture and quality work-life integration to support our staff as we grow together. We're leading the way to a better future of work culture. * Increased number of paid holidays per year * Competitive salaries with continuous review of market conditions * Flexible working hours and work arrangements * Remote and hybrid opportunities * Expanding Social Impact department for a healthy, happy, inclusive and productive workplace The benefits of joining our team * Strong growth opportunities * Competitive benefits package * 401(k) package with firm profit-sharing * Discretionary annual bonuses for eligible positions & CPA bonus plan * Strong emphasis on quality work-life integration * Dress for your day policy * Resources of a national firm * Compensation: $79,000 - $98,000 depending on experience. More is possible if experience dictates. Get to know us better! Hello! We're Novogradac & Company LLP, a national certified public accounting and consulting firm headquartered in San Francisco. Founded in 1989, the allied group of Novogradac companies has grown to more than 800 employees and partners with more than 25 offices throughout the country. Novogradac & Company LLP is one of the nation's top 40 certified public accounting and consulting firms and is a recognized leader in real estate and community development. Novogradac provides publicly and privately held national enterprises with a full spectrum of audit, tax, valuation, expert witness and litigation support, property compliance and general consulting services and works extensively in the affordable housing, community development, historic preservation and renewable energy fields. Ready to learn more? To be considered for this position, interested candidates MUST apply via our company website: ****************************** Novogradac & Company LLP offers a progressive work environment, competitive pay and an excellent benefits package including medical, dental, vision, paid time off, life/disability insurance, commuter flex accounts and a 401(k). Novogradac and Company LLP is an equal opportunity employer. Novogradac's culture is centered on education, acceptance, innovation and opportunity. We value diversity and respect the different perspectives that each of our employees bring to Novogradac no matter their age, race, religion, gender identity or sexual orientation. We are committed to creating an equitable and inclusive workplace for our entire workforce. By submitting an application with us, you are providing Novogradac with personal information. More information on how we use your personal information may be found in our Privacy Notice at Collection.
    $79k-98k yearly 3d ago
  • Senior Internal Auditor, Americas

    Trinseo 4.7company rating

    Auditor Job In Wayne, PA

    Trinseo is a different kind of global materials company - at the intersection of people, technology, and customers. We are a world leader in the production of plastics and latex binders. Our culture is built on passion and innovation. A career at Trinseo presents a unique opportunity to work in a highly collaborative environment. Helping customers solve their most complex material challenges is the reason we come to work each day. We are seeking innovative thinkers - ready to tackle any challenge and passionate about delivering value. As a global materials solutions provider focused on delivering innovative and sustainable solutions to our customers, we need people to feel respected and included so they can be more creative, innovative, and successful. We strive to create workplaces that reflect all communities and customers we serve and where everyone feels empowered to bring their full, authentic selves to work. That's why we're fully committed to inclusion across race, gender, age, religion, identity, and experience to drive us forward every day. Overview (Scope of Role) The Senior Internal Auditor, Americas is a key member of the Company's Internal Audit team, executing the department strategy and key functions, including the day-to-day execution of operational audit and advisory engagements, leading and conducting Sarbanes-Oxley compliance testing, and partnering with management and other key stakeholders in the execution of the Company's broader compliance program goals. This will be a hybrid role located in Wayne, PA. There will be an expectation of coming into the office at least 1-2 days per week. Responsibilities Operational, Risk-Based Audits * Conduct thorough business process audits and advisory engagement, including but not limited to operational, compliance, and risk management processes, to identify areas for improvement and ensure adherence to relevant policies and procedures. * Maintain comprehensive audit work-paper documentation that fully supports reported audit results. * Develop and implement (with the support of the Manager, Internal Audit - Americas) effective audit plans and procedures that take into account business goals, industry trends, and regulatory requirements, while also ensuring timely completion of audit assignments. * Perform data analytics to support the development of the audit plan and to target risk areas. Internal Controls * Assess, track and report on Sarbanes-Oxley testing results including control deficiencies and remediation. Act as an Internal Audit liaison with the Company's process owners, management, and external auditors on assigned Sarbanes Oxley related matters * Assist Manager, Internal Audit- Americas with oversight and coordination of EY co-sourcing partner team * Global responsibility for monitoring the status of Internal Audit's SOX control testing status and deficiencies Risk Management & Advisory Activities * Provide sound advisory support to management and other stakeholders on key business process issues and risks, making recommendations for process improvements and identifying potential areas of concern. * Collaborate with other internal and external stakeholders, including IT auditors, external auditors, and senior management, to ensure audit results are communicated effectively and timely action is taken on any identified issues. * Assist in the delivery and execution of the annual Enterprise Risk Management program * Perform other duties, such as developing framework, methodology, audit programs and tools development for broader use and deployment by the global Internal Audit team. Training / Skills Development * Investing time and effort to continuous skill development and training (e.g., latest trends in technology, audit, risk management, etc) * Remaining up-to-date on relevant industry developments and best practices related to business process audits and advisory assessments, and actively pursue training and development of key technical skills and capabilities (including maintenance of all technical licenses) * Leverage these skills and training to enhance the tools and methodologies deployed by the Internal Audit function in order to improve overall efficiency and effectiveness. Qualifications Minimum Education & Experience Required: * A/BS in Accounting, Finance or related field * 3-6+ years of combined experience in public accounting, internal audit functions, and/or relevant operational experience. * Other finance, accounting, manufacturing, or supply chain experience with exposure to management a plus (e.g. FP&A, cost/plant accounting, etc.) and an understanding of business processes Knowledge, Skills & Abilities: * Strong business acumen, with comprehensive understanding of business processes * Strong knowledge of internal controls (SOX experience preferred) * Chemical / manufacturing industry experience preferred * Experience leading multiple projects/ engagements in technical areas * Experience with data analytics, automation and other emerging technologies preferred * Strong oral and written communication skills * Strong analytical, problem solving, project management and organizational skills * Excellent interpersonal skills to engage all levels of management * Professional certifications: CPA, CIA, or other relevant certification preferred * Ability to travel ~5% (international travel) Equity and InclusionWith our expanding global presence, cross-cultural insight and competence are essential for our ongoing success. We believe that a diverse workforce contributes different perspectives, experiences and creative ideas that enable us to continue to improve every day. Race, gender, ethnicity, country of origin, age, personal style, sexual orientation, physical ability, religion, work and life experiences and many more factors contribute to this diversity. We welcome all applicants, regardless of their backgrounds, and are committed to a fair and inclusive hiring process. #LI-Hybrid
    $73k-93k yearly est. 14d ago
  • Advisory | Accounting | Audit | Tax | Payroll

    Itc Worldwide 4.7company rating

    Auditor Job In Harrisburg, PA

    About Us ITC Worldwide Advisors, LLP is a rapidly growing, modern provider of professional services to the middle market, operating globally. Our mission is to instill confidence in a world of change. Enable Transformation while doing more with less! Our exceptional people are the cornerstone of our unique culture and talent experience. Responsibilities * Understand clients' needs and expectations, their business and industry, accounting and control systems, employees, company values, and industry-related GAAP and GAAS issues. * Develop an understanding of the ITC audit automation approach and ERP tools. * Assess risks and evaluate the client's internal control structure. * Perform substantive tests and tests of internal controls to identify and resolve accounting or reporting issues. *Prepare financial statements under prescribed formats. Required Skills and Qualifications * Completion of 90+ credit hours towards a B.A. / B.S. degree or equivalent from an accredited university in Accounting or Finance. * You must have passed your ACCA, CPA, CFA, or CIMA exam. N.B: We kindly request you to complete a brief survey. Your feedback will help us enhance the candidate experience and ensure we attract the best talent. **************************** **************************** **************************** Next Steps: Once you have completed the survey, please proceed with your job application as instructed. Learn more:****************************************************************
    $59k-80k yearly est. 11d ago
  • Audit & Reimbursement Sr

    Carebridge 3.8company rating

    Auditor Job In Harrisburg, PA

    Audit & Reimbursement Senior ; US based. National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement. This position provides a valuable opportunity to gain advanced experience in auditing and financial analysis within a growing healthcare industry. This position allows for educational opportunities leading to certifications and promotes a well-balanced lifestyle that includes professional networking opportunities. How you will make an impact: Primary duties may include, but are not limited to: * Evaluate the work performed by other associates to ensure accurate reimbursement to providers. * Assist Audit and Reimbursement Leads and Managers in training, and development of other associates. * Participates in special projects as assigned. * Able to work independently on assignments and under minimal guidance from the manager. * Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements. * Analyze and interpret data with recommendations based on judgment and experience. * Must be able to perform all duties of lower level positions as directed by management. * Participate in development and maintenance of Audit & Reimbursement standard operating procedures. * Participate in workgroup initiatives to enhance quality, efficiency and training. * Participate in all team meetings, staff meetings, and training sessions. * Assist in mentoring less experienced associates as assigned. * Prepare and perform supervisory review of cost report desk reviews and audits. * Perform supervisory review of workload involving complex areas of Medicare part A reimbursement such as Medicare DSH, Bad Debts, Medical Education, Nursing and Allied Health, Organ Acquisition, Wage Index and all cost based principles. * Prepare and perform supervisory review of cost report acceptance, interim rate reviews, tentative settlements and final settlements as assigned. * Prepare and perform supervisory review of cost report reopenings. Minimum Qualifications: * Requires a BA/BS and a minimum of 8 years of audit/reimbursement or related Medicare experience; or any combination of education and experience which would provide an equivalent background. * This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years. Preferred Skills, Capabilities and Experiences: * Medicare Cost Reporting experience * Accounting degree preferred. * Knowledge of CMS program regulations and cost report format preferred. * Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred. * Must obtain Continuing Education Training requirements. * MBA, CPA, CIA or CFE preferred. * Demonstrated leadership experience preferred. * A valid driver's license and the ability to travel may be required. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. For candidates working in person or remotely in the below locations, the salary* range for this specific position is $74,800 to $123,420 annually. Locations: Colorado; Maryland; Minnesota; Nevada; New York; In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $74.8k-123.4k yearly 4d ago
  • Inventory Auditor - Weekend Shift

    Foot Locker Inc. 4.5company rating

    Auditor Job In Camp Hill, PA

    The Inventory Auditor is primarily responsible for the accurate and efficient handling and counting of merchandise. This position collects and analyzes data to ensure accuracy and corrects data and/or merchandise if an error is identified. This team member records required information on RF device and products as well as key data into warehouse management system, spreadsheets, and databases. If a current team member referred you, please select the link that was sent to you from the team member and apply using that link to be eligible for the referral bonus. Shift Availability: * Friday, Saturday and Sunday 6:30AM until 5:00PM Responsibilities * Safely operate lift power equipment within the distribution center to include scissor lift, swing reach truck, reach truck, order picker, and any other machines as needed. * Safely utilize a ladder to facilitate counting items. * Ensure all assigned equipment is fully operational at beginning of shift which includes checking for damage and reporting all damages or malfunctions to supervisor immediately. * Operates heavy equipment of various sizes and weights used in a distribution facility. * Maneuvers equipment in and around tight corners, through staging areas, and around pedestrian traffic in a safe manner. * Performs routine inspection on assigned equipment and refers defects or needed repairs to the supervisor; cleans equipment. * Physically check a percentage of all palletized incoming merchandise * Accurately count merchandise following predetermined procedures and methods. * Review case label information and verify contents by item, picks per case, etc… * Enter data into WMOS, databases, and spreadsheets accurately as well as make necessary adjustments and corrections. * Review printouts of inventory data and prepare required forms per SOP. * Properly follows company and OSHA safety procedures. * Ability to work in a fast-paced environment * Ability to read, write, operate RF device, conduct business related mathematics, and analyze data as required. * Brings problems to the attention of the supervisor, manager, safety director or HR manager. * Follows daily procedures and protocols as set forth in job orientations and trainings. * Kneeling, stooping, using stairs, reaching, pulling, and moving weights of 5 - 50 pounds constantly and 50-100lbs frequently. * Ability to move 50-100lbs at least 25 feet in distance. * Must be within the height/weight guidelines provided by equipment manufacturer to safely operate equipment. Work Environment: This position works in a warehouse setting, with limited outdoor exposure during the workday. This role routinely uses standard warehouse equipment such as hand trucks, box cutters, rf scanner, and tape dispensers. Based on business necessity associates may be required to temporarily work in other locations that require different physical demands. Qualifications * High School Diploma or GED * Previous inventory experience is preferred. * Minimum of 6 months of previous equipment operations experience highly preferred. * Basic proficiency in speaking and understanding English to comprehend safety instructions, participate in safety drills and effectively communicate in case of emergencies. * This requirement is critical to maintain a safe working environment for all employees. It is not a requirement of Foot Locker that employees speak English only while at work. Benefits Base rate paid bi-weekly: $17.51 per hour. * Earn $0.26 wage increase following the completion of 90 days, 6 months, 12 months, and 18 months of service, totaling up to $1.04/hr. on top of the base rate. Shift Differential: Should you meet your full 36.00 scheduled hours, a payout of 40.00 will be honored. Attendance Bonus: Earn a $40.00 Attendance Bonus per week. That equates to an additional $1.00 per hour. (Eligibility and policy rules will apply.) Referral Bonus: Refer a friend and you both obtain $900.00 (Paid out in four increments - Eligibility and policy rules apply) If a current team member referred you, please select the link that was sent to you from the team member and apply using that link to be eligible for the referral bonus. Sneakers are Just the Beginning * 30-50% Employee Discount * Paid Time Off * Medical, Dental, and Vision Coverage * Flexible Spending Account * 401(k) * Stock Purchase Plan * Life Insurance * Climate Controlled Environment * Development and Advancement Opportunities * Education Reimbursement Program * On-site Gym * And so much more! #LI-YT1
    $17.5 hourly 3d ago
  • Audit & Reimbursement Sr

    Elevance Health

    Auditor Job In Harrisburg, PA

    **Audit & Reimbursement Senior** ; US based. _National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement. This position provides a valuable opportunity to gain advanced experience in auditing and financial analysis within a growing healthcare industry. This position allows for educational opportunities leading to certifications and promotes a well-balanced lifestyle that includes professional networking opportunities. **How you will make an impact:** Primary duties may include, but are not limited to: + Evaluate the work performed by other associates to ensure accurate reimbursement to providers. + Assist Audit and Reimbursement Leads and Managers in training, and development of other associates. + Participates in special projects as assigned. + Able to work independently on assignments and under minimal guidance from the manager. + Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements. + Analyze and interpret data with recommendations based on judgment and experience. + Must be able to perform all duties of lower level positions as directed by management. + Participate in development and maintenance of Audit & Reimbursement standard operating procedures. + Participate in workgroup initiatives to enhance quality, efficiency and training. + Participate in all team meetings, staff meetings, and training sessions. + Assist in mentoring less experienced associates as assigned. + Prepare and perform supervisory review of cost report desk reviews and audits. + Perform supervisory review of workload involving complex areas of Medicare part A reimbursement such as Medicare DSH, Bad Debts, Medical Education, Nursing and Allied Health, Organ Acquisition, Wage Index and all cost based principles. + Prepare and perform supervisory review of cost report acceptance, interim rate reviews, tentative settlements and final settlements as assigned. + Prepare and perform supervisory review of cost report reopenings. **Minimum Qualifications:** + Requires a BA/BS and a minimum of 8 years of audit/reimbursement or related Medicare experience; or any combination of education and experience which would provide an equivalent background. + **_This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years._** **Preferred Skills, Capabilities and Experiences:** + Medicare Cost Reporting experience + Accounting degree preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred. + Must obtain Continuing Education Training requirements. + MBA, CPA, CIA or CFE preferred. + Demonstrated leadership experience preferred. + A valid driver's license and the ability to travel may be required. _If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed._ For candidates working in person or remotely in the below locations, the salary* range for this specific position is $74,800 to $123,420 annually. Locations: Colorado; Maryland; Minnesota; Nevada; New York; In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $74.8k-123.4k yearly 4d ago
  • IT Senior Auditor

    Fulton Bank 4.7company rating

    Auditor Job In Lancaster, PA

    Value Proposition Our values define us and our culture inspires us to change lives for the better. Our employees are the heart and soul of our company, and every success we experience begins with them. Together we are committed to making a positive impact in our local communities. We champion a culture of continuous learning, work-life integration, and inclusion. We promote a digitally enabled work environment to continuously enhance the experience of our employees and customers. Overview This is a Hybrid position based in our Headquarters location in Lancaster, PA The primary responsibilities of this role are to lead audits related to Information Technology (IT), perform audit administration, and provide audit assignment supervision as needed. The incumbent in this role will utilize an advanced knowledge of internal auditing concepts, operating systems, software, and IT general controls including security infrastructures, technical infrastructures, complex banking systems, and banking operations. The incumbent is responsible for audit assignments ranging from assisting, coordinating, or supervising the completion of complex audits, and may supervise multiple audit assignments simultaneously. Travel may be required up to 2% of the time. Responsibilities Perform audits in accordance with Institute of Internal Auditors International Professional Practices Framework and department standards. Utilize knowledge of IT control frameworks, regulatory requirements, and operating procedures for engagements while maintaining appropriate levels of audit independence and objectivity and practicing ‘Trust but Verify'. Assess the relevancy of audit findings, identify the root cause of issues and identify potential risk exposures and their materiality, and spot trends while understanding the importance of assigning fair and appropriate risk ratings at the completion of audits. Develop an effective work program to ensure key control points are identified and properly evaluated for risk, exposure, and audit coverage. Effectively communicate the audit process, objectives, and scope of work while maintaining effective communication and coordination with all parties involved and building relationships. Work with the Audit Manager to translate complex technical findings, recommendations, and trends into understandable and concise written and verbal communication. Demonstrate an understanding of operating systems, software, IT general controls, security infrastructures, technical infrastructures, complex banking systems and operations for assigned audit areas. Understand when to reach out to auditee or Audit Manager with questions or when additional information is needed. Lead risk-based audit engagements, delegate and complete quality work, delivering assignments on time and within budget and in accordance with the Institute of Internal Auditors International Professional Practices Framework and department standards. Lead teams effectively by actively supporting a team culture. Responsible for critical decision making, influence, providing feedback and inspiring staff to get results. Perform a first level review of the work of staff auditors. Qualifications Education Bachelor Degree or the equivalent experience. Specialty: accounting, information technology, business administration, finance, or other applicable. (Required) Experience 4 or more years auditing, information technology, or a related field. (Required) 2 or more years auditing IT controls or information security. (Preferred) Preferred Certifications Certified Information Systems Auditor Certified Internal Auditor Certified Public Accountant Other Duties as Assigned by Manager This role may perform other job duties as assigned by the manager. Each employee of the Organization, regardless of position, is accountable for reading, understanding and acting on the contents of all Company-assigned and/or job related Compliance Programs, regulations and policies and procedures, as well as ensure that all Compliance Training assignments are completed by established due dates. This includes but is not limited to, understanding and identifying compliance risks impacting their department(s), ensuring compliance with applicable laws or regulations, and escalating compliance risks to the appropriate level of management. Pay Transparency To provide greater transparency to candidates, we share base salary ranges on all job postings regardless of state. We set standard salary ranges for our roles based on the position, function, and responsibilities, as benchmarked against similarly sized companies in our industry. Specific compensation offered will be determined based on a combination of factors including the candidate's knowledge, skills, depth of work experience, and relevant licenses/credentials. The salary range may vary based on geographic location. The salary range for this position is $86,400.00 - $144,000.00 annually. Additional Compensation Components This job is eligible to receive equity in the form of restricted stock units. This job is eligible to participate in a short-term incentive compensation plan subject to individual and company performance. Benefits Additionally, as part of our Total Rewards program, Fulton Bank offers a comprehensive benefits package to those who qualify. This includes medical plans with prescription drug coverage; flexible spending account or health savings account depending on the medical plan chosen; dental and vision insurance; life insurance; 401(k) program with employer match and Employee Stock Purchase Plan; paid time off programs including holiday pay and paid volunteer time; disability insurance coverage and maternity and parental leave; adoption assistance; educational assistance and a robust wellness program with financial incentives. To learn more about your potential eligibility for these programs, please visit Benefits & Wellness | Fulton Bank. EEO Statement Fulton Bank (“Fulton”) is an equal opportunity employer and is committed to providing equal employment opportunity for all qualified persons. Fulton will recruit, hire, train and promote persons in all job titles, and ensure that all other personnel actions are administered, without regard to race, color, religion, creed, sexual orientation, national origin, citizenship, gender, gender identity, age, genetic information, marital status, disability, covered veteran status, or any other legally protected status. Sponsorship Statement As a condition of employment, individuals must be authorized to work in the United States without sponsorship for a work visa by Fulton Bank currently or in the future.
    $86.4k-144k yearly 58d ago
  • Financial Internal Auditor

    Cpa Search 3.4company rating

    Auditor Job In Harrisburg, PA

    Responsibilities: Perform Audit Procedures: professional judgment required, greater familiarity with systems and business processes is required. Duties include: obtaining, analyzing, and appraising evidentiary data; drawing informed, objective opinions as to the adequacy and effectiveness of internal controls, compliance with Company policies and procedures, and efficiency of operations; performing work related to SOX, and preparing work papers summarizing evidentiary data obtained and conclusions reached. Communicate progress, issues and concerns to superiors. Accountabilities include keeping supervisor informed of progress and difficulties encountered on a timely basis. Providing and receiving feedback on completion of tasks and discussions of possible conclusions. Prepare and communicate audit results. Duties include conducting entrance and exit conferences, drafting value-added audit reports in good form on a timely basis, and communicating issues to management verbally and in writing. Qualifications Requirements: BS/BA in Accounting or related degree program required MBA preferred CPA, CIA, CFE or other related financial certifications preferred 2-5 years of internal audit experience Big 4 or consumer product experience a big plus Bilingual (Spanish, Mandarin, Portuguese) preferred Must be willing to travel internationally up to 30% Fraud Investigation experience a plus Additional Information All your information will be kept confidential according to EEO guidelines.
    $59k-81k yearly est. 12d ago
  • Experienced Audit Accountant- Government Team

    Boyer & Ritter 3.0company rating

    Auditor Job In Camp Hill, PA

    Join our Boyer & Ritter Team! Camp Hill, State College, or Chambersburg locations. Full-Time and Part-Time Opportunities!! Description: Assist in carrying out audit, accounting, assurance and other services to government clients Develop new client relationships and enhance current relationships by providing excellent customer service Excel in a dynamic work environment servicing a variety of government clients Contribute to the growth of the team by delegating assignments, training and providing feedback Requirements: Minimum Bachelor's degree in Accounting Strong knowledge of the government industry to include but not limited to government accounting and reporting matters, compliance specific to government organizations, best practices and other unique challenges facing government organizations. Previous experience with auditing government and related organizations to include Yellow Book Audits and Single Audits is a PLUS Actively working towards obtaining your CPA license; current CPA license preferred Minimum of 2+ years professional experience, technically proficient, demonstrating a progression in complexity, scope and number of engagements managed, with strong supervisory experience. Ability to complete various assignments within time constraints and deadlines Excellent project management and analytical skills Strong organizational skills and exceptional attention to detail Knowledge of Microsoft Office suite products and technologically-savvy Self-motivated and willingness to enhance accounting and advisory knowledge Why Boyer & Ritter? We offer a unique culture that emphasizes and values work/life balance including hybrid work flexibility! Our collaborative work environment is strongly committed to your professional growth and success We have an extensive Coaching Program designed to prepare you for a life in a dynamic CPA firm We have a track record of ranking in the Best Place to Work in PA for the past 15 years. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required. We believe in equal opportunity: Boyer & Ritter is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, national origin, disability, sexual orientation or protected veteran status, or any other characteristic protected by federal, state or local law.
    $69k-99k yearly est. 60d+ ago
  • Financial Internal Auditor

    CPA Recruiter Online

    Auditor Job In Harrisburg, PA

    Responsibilities: Perform Audit Procedures: professional judgment required, greater familiarity with systems and business processes is required. Duties include: obtaining, analyzing, and appraising evidentiary data; drawing informed, objective opinions as to the adequacy and effectiveness of internal controls, compliance with Company policies and procedures, and efficiency of operations; performing work related to SOX, and preparing work papers summarizing evidentiary data obtained and conclusions reached. Communicate progress, issues and concerns to superiors. Accountabilities include keeping supervisor informed of progress and difficulties encountered on a timely basis. Providing and receiving feedback on completion of tasks and discussions of possible conclusions. Prepare and communicate audit results. Duties include conducting entrance and exit conferences, drafting value-added audit reports in good form on a timely basis, and communicating issues to management verbally and in writing. Qualifications Requirements: BS/BA in Accounting or related degree program required MBA preferred CPA, CIA, CFE or other related financial certifications preferred 2-5 years of internal audit experience Big 4 or consumer product experience a big plus Bilingual (Spanish, Mandarin, Portuguese) preferred Must be willing to travel internationally up to 30% Fraud Investigation experience a plus Additional Information All your information will be kept confidential according to EEO guidelines.
    $55k-77k yearly est. 60d+ ago
  • Senior Auditor - Technology/Cyber

    Ally 4.0company rating

    Auditor Job In Harrisburg, PA

    **General information** **Ref #** 19625 **Remote?** No **Ally and Your Career** * Ally Financial only succeeds when its people do - and that's more than some cliché people put on job postings. We live this stuff! We see our people as, well, people - with interests, families, friends, dreams, and causes that are all important to them. Our focus is on the health and safety of our teammates as well as work-life balance and diversity and inclusion. From generous benefits to a variety of employee resource groups, we strive to build paths that encourage employees to stretch themselves professionally. We want to help you grow, develop, and learn new things. You're constantly evolving, so shouldn't your opportunities be, too? **The Opportunity** Hardworking auditors are constant learners. Curiosity drives them - it's why they began their audit journey in the first place. Using a growth mindset is what fuels their fascination by understanding the financial services industry and its regulations and how it applies to each business unit at Ally. We get that. In this role, you'll work within a collaborative agile environment, use your critical thinking skills for completing assigned technology audit activities. Also, an individual would need to be flexible and adaptable to constantly evolving demands and bring to the role a results-oriented approach and a strong ability to learn. At this time, Ally will not sponsor a new applicant for employment authorization for this position. **The Work Itself** * You will partner with Ally technology and cyber leaders, working cross-functionally while conducting individual audits. * You will independently develop, implement, and document technology audit tests and issue validations in accordance with Audit Services policies and procedures. * You will conduct work paper reviews as needed. * You will provide support in walk throughs and project status meetings. * You will assist in the drafting of PAIs (Preliminary Audit Issue). * Your use of data literacy and analytics will provide consultation to management regarding emerging control practices across all areas of Ally technology. * Your proactive communication skills with management and peers will drive alignment to mitigate customer service issues before they occur. * Your technical knowledge, creativity, and improved mentality will be crucial when performing projects as assigned to assist with analyzing Ally's risk and control environment. * Your participation in Audit initiatives will be essential to the continued improvement of the enterprise and its continuing role within Ally business. * You will serve as a role model, coach, and mentor to junior staff members. **The Skills You Bring** * Relevant 4-year degree or comparable combination of education and experience (including military service) * Relevant certification (CISA, CISSP, CIA, CPA, etc.) is a plus * 3+ years of work experience in audit, assurance, or equivalent line of service (Technology/Cyber preferred) * Experience with data analytics and Teammate or other Computer Assisted Audit Techniques (CAATs) a plus * A desire to creatively identify problems that potentially were not known to exist and provide solutions and/or recommendations * Eye for business and understanding of the industry, company, and products to promote achievement of objectives and goals * Curiosity, passion, and the skills for technology * Analytical attitude - think before you leap * Proactively challenge the status quo * Be adaptable to change and ambiguity * Be open to feedback and continuous learning * Be resilient, composed, and focused under pressure * Be an active listener * Good writing and verbal communications **How We'll Have Your Back** * Ally's compensation program offers market-competitive base pay and pay-for-performance incentives (bonuses) based on achieving personal and company goals. But Ally's total compensation - or total rewards - extends beyond your paycheck and is designed to support and enrich your personal and professional life, including: * Time Away: competitive holiday and flexible paid-time-off, including time off for volunteering and voting. * Planning for the Future: plan for the near and long term with an industry-leading 401K retirement savings plan with matching and company contributions, student loan and 529 educational assistance programs, tuition reimbursement, and other financial well-being programs. * Supporting your Health & Well-being: flexible health and insurance options including dental and vision, pre-tax Health Savings Account with employer contributions and a total well-being program that helps you and your family stay on track physically, socially, emotionally, and financially. * Building a Family: adoption, surrogacy, and fertility support as well as parental and caregiver leave, back-up child and adult/elder day care program and childcare discounts. * Work-Life Integration: other benefits including LifeMatters Employee Assistance Program, subsidized and discounted Weight Watchers program and other employee discount programs. Who We Are: Ally Financial is a customer-centric, leading digital financial services company with passionate customer service and innovative financial solutions. We are relentlessly focused on "Doing it Right" and being a trusted financial-services provider to our consumer, commercial, and corporate customers. For more information, visit ************* Ally is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to age, race, color, sex, religion, national origin, disability, sexual orientation, gender identity or expression, pregnancy status, marital status, military or veteran status, genetic disposition or any other reason protected by law. Where permitted by applicable law, must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered, if not currently employed by Ally. We are committed to working with and providing reasonable accommodation to applicants with physical or mental disabilities. For accommodation requests, email us at *************. Ally will not discriminate against any qualified individual who is capable of performing the essential functions of the job with or without reasonable accommodation. **_Base Pay Range:_** An individual's position in the range is determined by the scope and responsibilities of the role, work experience, education, certification(s), training, and additional qualifications. We review internal pay, the competitive market, and business environment prior to extending an offer. **Emerging:** 70000 **Experienced:** 95000 **Expert:** 120000 Incentive Compensation: This position is eligible to participate in our annual incentive plan
    $62k-87k yearly est. 12d ago
  • Audit Intern - Spring 2026 (Jan - April)

    Brown Schultz Sheridan

    Auditor Job In Camp Hill, PA

    Brown Plus is a premier advisory firm in Central PA and Maryland, providing accounting, assurance, tax and consulting services across the Mid-Atlantic region. We are seeking an Audit Intern to join our team! The purpose of the Brown Plus Intern is to fulfill tasks set out by various teams to gain valuable experience and insight into the everyday environment of a public accounting firm. The internship is a hands-on experience which will prepare the intern for a transition into their career. The intern will operate under direct supervision and the responsibilities of the Intern will vary depending on the team. * Accounting major * Minimum GPA of 3.0 overall and in major * Looking for students graduating 2025-2027 * 150 credit hours preferred but not required * Valid drivers license or reliable transportation
    $34k-52k yearly est. 39d ago
  • Summer 2026 Audit Internship

    Baker Tilly Virchow Krause, LLP 4.6company rating

    Auditor Job In Lancaster, PA

    Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston. Baker Tilly Advisory Group, LP and Baker Tilly US, LLP (Baker Tilly) provide professional services through an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations and professional standards. Baker Tilly US, LLP is a licensed independent CPA firm that provides attest services to its clients. Baker Tilly Advisory Group, LP and its subsidiary entities provide tax and business advisory services to their clients. Baker Tilly Advisory Group, LP and its subsidiary entities are not licensed CPA firms. Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Visit bakertilly.com or join the conversation on LinkedIn, Facebook and Instagram. Please discuss the work location status with your Baker Tilly talent acquisition professional to understand the requirements for an opportunity you are exploring. Baker Tilly is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status, gender identity, sexual orientation, or any other legally protected basis, in accordance with applicable federal, state or local law. Any unsolicited resumes submitted through our website or to Baker Tilly Advisory Group, LP, employee e-mail accounts are considered property of Baker Tilly Advisory Group, LP, and are not subject to payment of agency fees. In order to be an authorized recruitment agency ("search firm") for Baker Tilly Advisory Group, LP, there must be a formal written agreement in place and the agency must be invited, by Baker Tilly's Talent Attraction team, to submit candidates for review via our applicant tracking system. Job Description: Responsibilities: Are you looking to gain experience and jump-start your accounting career? Do you want to build your professional network at a coast-to-coast firm? As an Audit Intern at Baker Tilly (BT), you will deliver audit and other assurance services to clients. As one of the fastest growing firms in the nation, BT offers you upward career trajectory, flexibility in how and where you get your work done and meaningful relationships with clients, teammates and leadership who truly care about you and your development. You will enjoy this role if you: * Are considering a long-term career in public accounting and want exposure to the industry * Value your development and want to work for a firm whose owners have both their clients' and employees' best interests in mind and are transparent in their decisions * Want to grow professionally and develop your client service and technical accounting skills to build a strong foundation now, for tomorrow You will have the opportunity to: * Gain hands-on experience in audit working full time * Participate in our intern orientation, technical training and development program designed to provide the tools needed to contribute to client engagements * Experience on-the-job training through real work engagements, showcasing how your academic experience translates to the professional environment * Learn directly from experienced associates, seniors, managers and partners with specialized experience and technical knowledge across numerous industries and services * Build friendships and strong work relationships while gaining valuable experience * Demonstrate your performance and ability to join Baker Tilly as a full-time associate Qualifications: * Successful candidates will be: * Enrolled as a student during the current school year in an accounting or related business program, with sufficient course work and credits to sit for the CPA exam in the state you are being considered before beginning full-time employment * Able to work full time for the duration of the internship * There is currently no immigration sponsorship available for this position. * Successful candidates will have: * Outstanding academic performance required, with a preferred GPA of 3.0 or above * Relevant internship, work experience and/or involvement with a professional organization desired * The ability to work effectively in a team environment with all levels of client personnel * Demonstrated skills in the areas of time management, communication, interpersonal skills, relationship building, collaboration, and problem solving * Organizational and analytical skills, initiative, adaptability * Proficiency with Microsoft programs (Word, Excel, PowerPoint, etc.)
    $47k-63k yearly est. 2d ago
  • Inventory Control / Quality Auditor

    Adecco Us, Inc. 4.3company rating

    Auditor Job In Carlisle, PA

    **Inventory Control / Quality Auditor - 1** **st** **shift 7am to 3pm Mon to Fri** Adecco is seeking Inventory Control / Quality Assurance Specialist for immediate openings with Ross in Carlisle, PA. Weekly pay starting at $18.92 and competitive benefits with options such as medical, dental, vision, and 401(k). Apply today! In this role, you will be responsible for testing the accuracy and quality of facility processes. You will also operate order pickers or walkie riders, monitor and audit production processes, perform inventory counts, and assist in all processing areas as needed. These Inventory Control / Quality Assurance Specialist jobs require 1-2 years of related experience, excellent math and computer skills, experience with Outlook E-mail, MS Word, MS Excel, MS Access, and RMS, the ability to read, write and speak English and lift up to 50 pounds, have strong self-motivation and the ability to work independently. Click on Apply Now and attach your resume to be considered for this Inventory Control / Quality Assurance Specialist job in Carlisle, PA. + Temp to Perm position + Attendance/Punctuality must be very good + This is not remote or sedentary Click on Apply Now and attach your resume to be considered for this Inventory Control / Quality Assurance Specialist job in Carlisle, PA **Pay Details:** $18.92 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to ********************************************** The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: + The California Fair Chance Act + Los Angeles City Fair Chance Ordinance + Los Angeles County Fair Chance Ordinance for Employers + San Francisco Fair Chance Ordinance
    $18.9 hourly 16d ago
  • Quality Control Auditor

    Vitu

    Auditor Job In Harrisburg, PA

    Vitu Vitu is a private equity backed (Accel-KKR) innovative SaaS company providing cutting-edge services to the motor vehicle industry. The company is continuing its exponential growth and looking for leaders and team members to support and drive its continued success. Vitu currently has offices in California, Florida, Illinois, Indiana, Minnesota, Montana, New Hampshire, Oregon, Pennsylvania, Texas and Virginia. Position Overview The Auditor is responsible for providing document handling support and for verifying received paperwork according to established DMV policies and internal operation procedures and assisting with other daily responsibilities within the Operations department. The candidate best suited for the position will have excellent communication, attention to detail, punctuality, and organization. Someone who is self-motivated, goal oriented, positive and has a great attitude. Responsibilities * Open and Log in client paperwork * Audit paperwork against DMV policies, providing notice to customers and to DMV as set by company procedures. * Answer customer processing questions. * Access customer data for troubleshooting purposes. * Notifications and or requests to customers. * Contact customers for a check in - monthly * Assist the imaging department as needed to keep paperwork moving according to established goals. * Any other task required to facilitate the movement of paperwork from the client to DMV. * Any other tasks associated with the operations department - such as - problem reports, AR, matching totals with PENNDOT, etc. Required Experience * Minimum of 2 years' experience with PA DMV policies and procedures preferred but is not required. * Experience with DMV documents for both new and used vehicles. * Knowledge of DMV regulations pertaining to registration processing. * Able to effectively communicate with Supervisors. * Excellent time management skills * Excellent follow-up and problem-solving skills * Excellent interpersonal skills * Excellent attention to detail * Able to work independently with limited supervision Other details * Pay Type Hourly Apply Now * Harrisburg, PA, USA
    $24k-40k yearly est. 60d+ ago
  • Coding Auditor Educator

    Highmark Health 4.5company rating

    Auditor Job In Harrisburg, PA

    Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines **ESSENTIAL RESPONSIBILITIES:** + Plans and \conducts audits and reports on the documentation, coding and billing performed at AHN entities. Reviews, develops and delivers training programs and educational materials to address deficiencies identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external audit findings and responds as needed. Attends meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare appeal letter follow up and identify education issues. (20%) + Develops audit detail summary spreadsheets and reports to address any coding, documentation, financial impact and profitability. Conducts education/training or works with external resources to present final audit findings to department staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%) + Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify patterns, trends and variations in the facilities frequently assigned DRG/APC groups. Once identified, evaluate the cases of the change or problems and takes appropriate steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the DRG and APC. (10%) + Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding guidelines and regulatory requirements. (10%) + Performs other duties as assigned or required including training/mentoring of new staff, performing audits and research related to special projects and providing coverage for coding manager(s). (10%) + Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff education programs. Establishes and monitors performance and maintains appropriate documentation thereof. (10%) + Other duties as assigned. **QUALIFICATIONS:** Minimum + High school diploma / GED + Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) + AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. (Internal transfer and promotion candidates may have a minimum of 3 years experience) + In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure, National Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective payment system and Coding Clinic references. Current working knowledge of encoder, grouper, abstracting and other related software. + Strong analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong education/training background in coding and reimbursement **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $25.85 **Pay Range Maximum:** $40.18 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _********************************************************************************************************* ) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J256583
    $25.9-40.2 hourly 60d+ ago
Coding Auditor Educator
Highmark Health
Harrisburg, PA
$25.9-40.2 hourly
Job Highlights
  • Harrisburg, PA
  • Junior Level
  • High School Diploma Required
Job Description
Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines

**ESSENTIAL RESPONSIBILITIES:**

+ Plans and \conducts audits and reports on the documentation, coding and billing performed at AHN entities. Reviews, develops and delivers training programs and educational materials to address deficiencies identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external audit findings and responds as needed. Attends meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare appeal letter follow up and identify education issues. (20%)

+ Develops audit detail summary spreadsheets and reports to address any coding, documentation, financial impact and profitability. Conducts education/training or works with external resources to present final audit findings to department staff, physicians and appropriate individuals. (20%)

+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%)

+ Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify patterns, trends and variations in the facilities frequently assigned DRG/APC groups. Once identified, evaluate the cases of the change or problems and takes appropriate steps to effect resolution. (10%)

+ Reviews and interprets medical information, classifies that information into the appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the DRG and APC. (10%)

+ Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding guidelines and regulatory requirements. (10%)

+ Performs other duties as assigned or required including training/mentoring of new staff, performing audits and research related to special projects and providing coverage for coding manager(s). (10%)

+ Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff education programs. Establishes and monitors performance and maintains appropriate documentation thereof. (10%)

+ Other duties as assigned.

**QUALIFICATIONS:**

Minimum

+ High school diploma / GED

+ Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)

+ AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS)

+ AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA)

+ 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. (Internal transfer and promotion candidates may have a minimum of 3 years experience)

+ In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure, National Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective payment system and Coding Clinic references. Current working knowledge of encoder, grouper, abstracting and other related software.

+ Strong analytical and communication skills

Preferred

+ Associate's Degree

+ 3 years with claims processing and data management

+ Past auditing and strong education/training background in coding and reimbursement

**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._

**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._

_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._

_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._

**Pay Range Minimum:**

$25.85

**Pay Range Maximum:**

$40.18

_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at *****************************

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J259988

Learn More About Auditor Jobs

How much does an Auditor earn in Swatara, PA?

The average auditor in Swatara, PA earns between $36,000 and $90,000 annually. This compares to the national average auditor range of $35,000 to $84,000.

Average Auditor Salary In Swatara, PA

$57,000

What are the biggest employers of Auditors in Swatara, PA?

The biggest employers of Auditors in Swatara, PA are:
  1. Highmark
  2. Baylor Scott & White Health
  3. Zurich
  4. Rolka Loube
Job type you want
Full Time
Part Time
Internship
Temporary