DIG SR. AUDITOR

Position Information

Summary

The Office of Medicaid Inspector General (OMIG) Senior Auditor is responsible for examining and analyzing Medicaid billing records, conducting compliance and/or financial audits, and investigating allegations of Medicaid fraud. This position is governed by state and federal laws and agency/institution policy.

Functions

Conducts programmatic, operational/performance compliance, and financial-related audits of medical providers and facilities. Assists medical providers, facilities in developing and monitoring protocols and identifies fundamental issues and risks associated with Medicaid fraud, abuse, and waste. Reviews financial information to ensure compliance with established criteria, policy, and regulations. Compiles data and audit information for preparation of reports and schedules and records findings and analysis of information for future projections. Reviews and analyzes efficiency of audit procedures and recordkeeping techniques to determine compliance with state and federal laws and state audit fiscal policies and procedures. Explains adjustments and laws via telephone, correspondence, and/or in-person visits, including attendance at administrative hearings. Assists in training other auditors by acting as a group lead on large, complex audits and explaining auditing standards, policies, and procedures. Performs other duties as assigned.

Dimensions

Frequent overnight in-state travel may be required.

Knowledge, Skills and Abilities

Knowledge of the provider and Medicaid billing practices and procedures. Knowledge of the principles of auditing procedures. Knowledge of manual and automated accounting systems and procedures. Knowledge of Generally Accepted Accounting Principles (GAAP). Knowledge of Microsoft Suite software programs. Ability to interpret and apply rules, laws, and policies to specific situations. Ability to interpret and analyze automated accounting transactions. Ability to use computer software programs to produce reports and correspondence. Ability to lead the work of others. Ability to communicate orally and in writing.

Minimum Qualifications

The formal education equivalent of a bachelor's degree in accounting, finance, health care administration or a related field; plus three years of experience in accounting, financial management, or a related area, including one year in a supervisory capacity.

Licenses

Must possess a valid Arkansas drivers license. Additional requirements determined by the agency for recruiting purposes require review and approval by the Office of Personnel Management. OTHER JOB RELATED EDUCATION AND/OR EXPERIENCE MAY BE SUBSTITUTED