Top 45 Auditor Jobs in Millbury, Ma

Medical Program Auditor/ Analyst
University of Massachusetts Medical School —Worcester, MA
- $80,000 - $95,000 a year
- Full-time
- Microsoft Excel
- Customer service
- Mid-level
Accountant I, Student Accounts (OneCard) - Worcester State University
Worcester State University —Worcester, MA
- $2,152.54 a month
- Full-time
- Management
- Office
- Math
- Paid holidays
- Disability insurance
Senior Accountant/Auditor
Spinelli CPA PC —Worcester, MA
- $33 - $45 an hour
- Full-time
- Hybrid work
- CPA
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Outsourced Accounting Manager - Life Science
CITRIN COOPERMAN ADVISORS LLC —Worcester, MA
- $90,000 - $200,000 a year
- Full-time
- Remote
- 6 years
- Management
- CPA
Medical Billing Code Auditor- Healthcare Internal Audit - Hybrid work schedule
Fallon Health —Worcester, MA
- $87,500 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- 3 years
Staff / Project Accountant
BSC Group —Worcester, MA
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Finance
Quick Apply
Accounting Manager
R.H. White Construction —Auburn, MA
- $95,615 - $120,000 a year
- Full-time
- CPA
- Writing skills
- ERP systems
- Health insurance
- Dental insurance
Quick Apply
Controller
Massachusetts Technology Collaborative —Westborough, MA
- $125,000 - $135,000 a year
- Full-time
- Hybrid work
- Management
- Office
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Audit Senior Analyst
Fidelity Investments —Smithfield, RI
- Full-time
- CPA
- Bachelor of Science
- Mid-level
Senior Internal Auditor
Waters Corporation —Milford, MA
- $82,000 - $137,000 a year
- Hybrid work
- CPA
- Mid-level
- Finance
Staff Accountant
IDEAL Industries, Inc. —Sterling, MA
- $66,932 - $102,627 a year
- Full-time
- ERP systems
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
11d
Director, Internal Audit - Compliance
First Technology Federal Credit Union —Marlborough, MA
- $164,000 - $197,000 a year
- Email
- Office
- Analysis skills
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
13d
Director, Internal Audit - Professional Practices
First Technology Federal Credit Union —Marlborough, MA
- $164,000 - $197,000 a year
- Email
- Office
- Bachelor's degree
- Experience equivalent to degree accepted
- Paid holidays
- Health insurance
Quick Apply
13d
Audit Associate
Fidelity Investments —Smithfield, RI
- Full-time
- CPA
- Mid-level
- Office
Director, Internal Audit - Operational Risk
First Technology Federal Credit Union —Marlborough, MA
- $164,000 - $197,000 a year
- Email
- PMP
- Office
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
13d
Home Energy Auditor
Worcester Community Action Council Inc —Worcester, MA
- $21 - $25 an hour
- Background check
- Customer service
- Pass drug screening
- Paid holidays
- Disability insurance
Quick Apply
Accountant
Health Plans Inc —Westborough, MA
- $29 - $32 an hour
- Full-time
- Writing skills
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
Audit & Assurance Manager
Innovative CPA Group LLC —Worcester, MA
- $85,000 - $100,000 a year
- Full-time
- Hybrid work
- 7 years
- CPA
- Research
- Health insurance
- 401(k) matching
Quick Apply
Audit Managing Director
CITRIN COOPERMAN ADVISORS LLC —Worcester, MA
- $200,000 - $230,000 a year
- Full-time
- CPA
- Bachelor's degree
- GAAP
Director of Finance
wavesoftsol —Westborough, MA
- $44.06 - $53.06 an hour
- Part-time
- Office
- Continuous improvement
- Mentoring
- Relocation assistance
- Health insurance
Quick Apply
14d

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auditor jobs near millbury, ma

Medical Program Auditor/ Analyst

University of Massachusetts Medical School -
Worcester, MA

Apply Now

Job Details

Full-time
$80,000 - $95,000 a year

Qualifications

Customer communication
Bachelor's degree
Data-driven problem-solving

Full Job Description

Overview:

Under the general direction of the Associate Director or designee, the Fraud, Waste, and Abuse (FWA) Auditor serves a crucial role in identifying, investigating, and preventing fraud, waste and abuse for Medicaid programs. A major function of this position is to conduct desk and onsite audits across various provider types to ensure compliance with federal and state regulations. The Auditor performs investigative activities to develop leads and detect aberrant billing practices, including data mining, claims analysis, and medical record assessment.

Onsite requirement 1-2 times per month, all other aspects of the job are remote.

Responsibilities:

Responsibilities:

Ensure compliance with federal and state regulations and healthcare FWA industry standards.
Perform independent data mining and data analysis utilizing claims data to detect patterns and trends that may uncover fraud, waste, or non-compliant billing practices.
Conduct onsite audits as required, to assess the completeness of medical and administrative records and the compliance with applicable regulatory requirements.
Prepare detailed audit documentation, summaries of investigative findings, compile case files, calculate sanctions and overpayments based on violations cited.
Communicate with providers regarding issues such as general regulatory compliance, audit findings, and the recovery process.
Recommend policy, procedure and system changes to enhance investigative outcomes.
Update appropriate internal management staff regularly on progress of investigations.
Stay current with regulatory updates, coding changes, and industry standards.
Identify trends from national fraud-related publications and recommend new or improved strategies to strengthen fraud-detection efforts.
Assist with document management, updating case-tracking system and adhering to record retention policies and procedures.
Perform other duties as assigned.

Qualifications:

Qualifications:

Bachelor's degree in business, health care administration, or other related field
4-6 years of related experience in the healthcare industry, business,; with at least two years of experience conducting data mining in the healthcare insurance industry, healthcare claim audits, administrative medical record reviews or other claims analysis related experience
Knowledge of CPT, HCPCS and ICD-10 coding, reimbursement and claims processing policies
Strong analytical and qualitative skills as well as problem solving skills with the ability to look for root causes and implement workable solutions
Ability to interpret and apply law and regulations as it relates to fraud and fraud investigations
Ability to multi-task, establish priorities and work independently and collaboratively to achieve audit objectives
Proficiency in Microsoft Office applications (Word, Excel, PowerPoint and Access)
Excellent Customer service skills with the ability to interact professionally and effectively with providers, clients, and internal stakeholders from all departments
Ability to travel within Massachusetts and be on-site as needed for audits

Additional Information:

Preferred Qualifications:

Prefer individual possessing any of the following certifications or licensure: CPC or CPMA
Knowledge of state and federal regulations as they apply to public assistance programs

#LI-AC1

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Refine Your Search

auditor jobs in millbury, ma

Medical Program Auditor/ Analyst

Accountant I, Student Accounts (OneCard) - Worcester State University

Senior Accountant/Auditor

Outsourced Accounting Manager - Life Science

Medical Billing Code Auditor- Healthcare Internal Audit - Hybrid work schedule

Staff / Project Accountant

Accounting Manager

Controller

Audit Senior Analyst

Senior Internal Auditor

Staff Accountant

Director, Internal Audit - Compliance

Director, Internal Audit - Professional Practices

Audit Associate

Director, Internal Audit - Operational Risk

Home Energy Auditor

Accountant

Audit & Assurance Manager

Audit Managing Director

Director of Finance

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