The Healthcare Audit Division (HAD) conducts cost report audits of nursing homes for use by the Department of Community Health (DCH) in setting the nursing home reimbursement rates. The Division also conducts audits of provider claims to determine if they were appropriate, and performs internal program audits for DCH.
The Healthcare Audits Division recruits for the following positions:
Selected candidates will work with team members to perform financial related audits of nursing homes participating in the State’s Medicaid program. The purpose of these audits is to determine if the Medicaid costs claimed by provider are reasonable and allowable, based on federal and state laws, regulations, policies and procedures, as well as generally accepted accounting principles. Qualifications include a Bachelor or Master’s degree in accounting, minimum GPA of 2.75.
Seeking RN clinical auditors to evaluate clinical and billing practices of Medicaid providers. Specifically, our clinical auditors will review medical record and billing documentation for coding accuracy, validate coding, identify gaps in physician documentation and quantify and quantify results in regard to compliance with the Medicaid program. Qualified candidates should have varied clinical experience, and knowledge of ICD-9 and CPT-4 coding. An unrestricted GA RN license is required. A Bachelor’s Degree in nursing is preferred.
Staff auditor positions require at least a bachelor's degree in accounting from an accredited university along with a minimum GPA of 2.75. Clinical Auditor positions require an unrestricted RN license and at least 2 years experience in UR or case management.
The opportunity for advancement is limited only by an individual's ability and desire.
We offer the following:
- Promotions based on merit;
- Professional development under experienced supervision;
- Extensive career development program; and
- Exposure to many facets of state government.
Compensation and Benefits:
Starting salaries for the entry level staff auditor and clinical auditor position are competitive with salaries for similar positions in the private sector.
Other benefits include:
- Twelve paid holidays annually;
- Three weeks vacation and three weeks sick leave annually; and
- A full range of benefits, including retirement plans, health and life insurance, deferred compensation and flexible benefits program.
Applications and Inquiries:
Georgia Department of Audits and Accounts
Recruitment and Training Coordinator
270 Washington St, S. W. Suite 1-156
Atlanta, Georgia 30334-8400
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