Program Integrity PERM Audit Coordinator
$66,648–$102,264 year
HybridSalem, Oregon, United States or Oha, Delta State, Federal Republic of Nigeria
Job Summary
Conduct audits of providers participating in Oregon's Medicaid program to detect, identify, and deter medical program fraud, waste, and abuse while ensuring compliance with federal, state, and agency rules. Lead all phases of the federal Payment Error Rate Measurement (PERM) cycle, facilitating communication and coordination among CMS, federal contractors, state staff, and Medicaid and CHIP providers. Review and analyze accounting records and program data, collect evidence, document work papers, and identify audit exceptions through interviews and computer-assisted techniques. Prepare clear and concise reports presenting audit findings using graphs and charts to support recommendations. This role operates within the Program Integrity Audit Unit of the Office for Program Integrity, reporting directly to the Chief Financial Officer, and serves over one million diverse beneficiaries.
Required Qualifications
- A Bachelor's degree in a business-related field, such as business administration, public administration, finance, economics, computer science, etc.
- Two years of auditing experience
- Twenty quarter hours of college courses in a business or financial field such as the areas listed above
- Two additional years of auditing experience
- Successful completion of the duties and training as an Oregon Governmental Auditor (Entry)
Desired Qualifications
- Experience in using Generally Accepted Governmental Auditing Standards as prescribed by the U.S. Government Accountability Office, also referred to as the Yellow Book
- Skill in auditing techniques: reviewing and analyzing accounting records and program data; collecting evidence, documenting work papers appropriately and identifying audit exceptions; conducting interviews, inquiry, and communication with auditee personnel at various administrative levels; developing computer assisted auditing techniques; analyzing and evaluating the results of statistical samples to support audit findings
- Experience in risk analysis for evaluation of internal and management controls
- Experience within the Dental or Behavioral Health field
- Experience in provider healthcare billing
- Holds certification in a coding or auditing discipline
- Skill in oral and written communications, preparing clear and concise reports and effectively communicating problems and recommendations in support of audit findings
- Skill in presenting audit findings (e.g., graphs, charts, etc.)
- Skill in researching compliance and operational issues and State or Federal regulations applicable to the organizational unit under review
- Strong analytical, independent judgement and excellent customer service skills
- Ability to manage multiple audits and other projects and be able to organize and prioritize work to meet deadlines and have flexibility and work demand tolerance
- Must be proficient in Microsoft Office products such as Outlook, Word, Excel, Teams and PowerPoint
- Experience in creating and maintaining a work environment that is respectful and accepting of diversity among team members and the people we serve
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