TAX Auditor

Summary The Tax Auditor is responsible for auditing all state tax records, following up on audit results, assisting in training for specialized tax areas, and acting as a lead auditor for complex audit situations. This position is governed by state and federal laws, Arkansas tax regulations, and agency/institution policy.

Typical Functions Gathers information, analyzes and reviews Arkansas tax laws to prepare for audit, and schedules tax audits. Examines and analyzes various financial records to determine if a tax liability, a no-tax due, or a refund situation exists.

Prepares audit reports based on audit findings, inputs audit information into personal computer, and prepares other reports of penalties or taxes due. Presents audit results to taxpayer or taxpayer representative to explain audit findings, answer questions regarding taxpayers' legal responsibilities and right to appeal, and obtains signatures. Leads in conducting complex audits including assigning and reviewing work, coordinating travel, compiling composite reports, and conducting exit interviews.

Investigates alleged violations of tax laws, obtains evidence of improper adherence to state tax laws, and testifies at hearings or in court regarding audit findings. Assists in training other auditors in specialized tax audits and teaches income tax schools for continuing education credits for tax professionals. Performs other duties as assigned.

Special Job Dimensions

Knowledge, Abilities, and Skills Knowledge of the principles and practices of accounting. Knowledge of manual and automated accounting systems and procedures.

Knowledge of audit standards and procedures.

Knowledge of laws, rules, and regulations governing the reporting, payment, and collection of state taxes. Knowledge of Microsoft Office.

Ability to assign and coordinate work activities and monitor the performance of co-workers and/or subordinates. Ability to interpret and apply rules, laws, or policies to specific situations. Ability to analyze financial records and determine the propriety or accuracy of transactions.

Ability to document examination findings and prepare reports using a personal computer. Ability to convey and exchange oral and written information of a specialized nature. Ability to attend and testify at hearings.

Ability to teach income tax schools for continuing education credit for tax professionals. Minimum Education and/or Experience The formal education equivalent of a bachelor's degree in accounting, management, general business, or a related area with a minimum of twenty-four (24) hours of accounting in accordance with ACA 26-17-203. The requirement of twenty-four (24) semester hours can not be substituted. 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 FOR ALL OR PART OF THESE BASIC REQUIREMENTS, EXCEPT FOR CERTIFICATION OR LICENSURE REQUIREMENTS, UPON APPROVAL OF THE QUALIFICATIONS REVIEW COMMITTEE.

Preferred Qualifications A college degree in accounting, business, or related field with a minimum of 24 hours of accounting, and a valid Arkansas Drivers License required. Apply accounting principals and law in auditing business sales, use, miscellaneous, and income withholding tax returns.

In the field prepare work papers and audit reports. Use personal car for traveling Central part of the state.

Certificates, Licenses, Registrations

Agency Specific Information ONLY COMPLETED APPLICATIONS WITH WORK HISTORY WILL BE ACCEPTED. Applications must include complete work history and references.

A resume may accompany the state application but will not be substituted for any part of the application. Veteran Preference: A copy of a DD-214 must be submitted to the Hiring Official, at time of interview to be considered for Veteran Preference.

Must reside within Pulaski County or relocate to same within a reasonable time. DFA is an Equal Opportunity Employer; we will make any reasonable accommodations necessary to ensure equal employment opportunities. A criminal background check is required for all DFA positions; an FBI background check may be required.

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REV - TAX Auditor I - 73001183

REV - TAX AUDITOR I - 73001183 Date:Jun 9, 2017 Location:MIAMI, FL, US, 33126 Apply now » Apply now Start + Please wait... The State Personnel System is an E-Verify employer. For more information click on ourE-Verify website.

Requisition No: 8642 Agency: Department of Revenue Working Title: REV - TAX AUDITOR I - 73001183 Position Number: 73001183 Salary: $2,934.33 with $105.73 CAD (Competitive Area Differential) / month Posting Closing Date: 07/11/2017 If you have a desire to use your talent and skills at an organization that provides critical services to millions of individuals, businesses and families across the state, the Florida Department of Revenue invites you to apply to become an essential member of our team. As one of the largest state agencies, the Department’s diverse workforce community of more than 5,000 employees is proud of its efforts to serve the people of Florida.

• The Department’s General Tax Administration program plays a key role in collecting and distributing revenue to state agencies, cities, counties and school districts.

• The Department’s Child Support Program helps children receive the financial support they need when it is not provided from one or both parents.

• The Department’s Property Tax Oversight program oversees and assists local government officials, including property appraisers, tax collectors, and value adjustment boards. The Department of Revenue offers an excellent array of benefits, including: + Flexible work schedules and telecommuting + Health insurance(over 80% employer paid) + Basic life insurance policy(100% employer paid) + First-rate retirement program + Dental, vision and supplemental insurance + Vacation and sick leave + Paid holidays + Opportunities to advance in your career + Tuition waiver for public college courses + Training opportunities The Department’s values-based culture and commitment to public service guides our work.
  
  We focus on teamwork, innovation, continuous improvement, and seek excellence in our accomplishments every day. Begin your public service career today with the

Florida Department of Revenue. JOB SUMMARY:This position is in General Tax Administration

• Miami Service Center, Field Operations

• Audit. This position will perform audits of taxpayers conducting business in Florida to determine tax compliance as it relates to Florida statutes.
  
  Duties include research, analysis, the review of taxpayer’s books and records, the preparation of detailed reports of audit results, and instructing taxpayers as to the proper reporting procedures to improve future compliance. MINIMUM JOB REQUIREMENTS: EDUCATION AND EXPERIENCE: + Bachelor's degree from an accredited college or university; + Successful completion of five college level courses in accounting; + Experience in Microsoft Excel or any equivalent spreadsheet program/application and Microsoft Word or any equivalent word processing program/application.
  
  SUBSTITUTIONS: + Applicants who will obtain the college requirements described above within 60 days from the date of application will also be considered. SCREENINGDISCLAIMER:Responses to qualifying questions should be verifiable by skills and/or experiences stated on the job candidate profile and/or resume. NOTE:This position requires travel which may include overnight stays.
  
  SKILLS VERIFICATION TEST:All applicants who meet the screening criteria/minimum job requirements will be required to take a Skills Verification Test. Applicants must receive a score of at least 70% to be considered further. APPLICANTPOOL:Future vacancies may be filled from this advertisement for a period of up to six months.
  
  RECRUITMENT STATEMENT:The Florida Department of Revenue is committed to maintaining a diverse workforce and providing employment opportunities to veterans and individuals who have a disability. CRIMINALBACKGROUNDCHECKS:All Revenue positions are designated as “sensitive or special trust.” If we select you for this position, you must provide your fingerprints. We will send your fingerprints to the Florida Department of Law Enforcement and/or Federal Bureau of Investigation for a criminal background check.
  
  These checks will reveal arrests or charges regardless of the disposition or outcome. WHERETOAPPLY:All applicants must apply online at:https://jobs.MyFlorida.com.If you experience problems applying online, please call the People First Service Center at 1-877-562-7287 for assistance. CONTACTINFORMATION:Alvaro Salazar, 305-499-4023,alvaro.salazar@floridarevenue.com REMINDERS: + Male applicants born on or after October 1, 1962, will not be eligible forhireorpromotionunless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website at:http://www.sss.gov.

• If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement. The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace. Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation. The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act. VETERANS’ PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clickinghere. All documentation is due by the close of the vacancy announcement. Nearest Major Market:Miami

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Sales Tax Auditor II

Description / Position Overview If you previously applied for this position (closing date June 5, 2017), please do not reapply. Duplicate applications will not be sent to the hiring manager. The hiring salary for this position is between $4,208.33 and $4,995.92. The City Learn about the City of Colorado Springs as an employer and what our beautiful city has to offer as a place to live and work by clicking on the following links: https://coloradosprings.gov/sites/default/files/candidateinfopacket1.20.17-updated.pdf http://www.choosecoloradosprings.com/ This information may change annually.

Sales Tax Auditor II In this position, you will perform taxpayer auditing and tax collection services for the City. You will also conduct field audits of taxpayers' records to evaluate accounting and financial systems, collect unreported tax liabilities, and advise taxpayers in the proper applications of the City ordinance.

Essential Functions- the basic job duties an employee must be able to perform: * Review, prioritize, and select taxpayers to be audited; evaluate taxpayer accounting systems and internal controls; and perform professional tax audits

• Examine a variety of financial documents; present audit findings and recommendations to the taxpayer; answer taxpayer questions; and develop payment schedules as needed

• Research prevailing tax law changes, court decisions, and current accounting and auditing procedures

• Prepare audit work papers; note errors, procedures performed, and improvements necessary to ensure future compliance

• Participate in establishing schedules and methods for providing tax collection and auditing services; identify resource needs; and review needs with supervisor and other management staff

• Suggest improvements to the City's existing fiscal policies and procedures; participate in developing City tax ordinances

• Respond to public inquiries; and resolve complaints efficiently and in a timely manner

We are looking for candidates who demonstrate: * Knowledge of pertinent federal, state, and local policies, procedures, and tax ordinances

• Ability to communicate clearly and concisely, orally and in writing

• Ability to establish and maintain effective working relationships

Ideal candidates will also demonstrate: * Experience in sales and use tax auditing and administration

• Experience which demonstrates knowledge of Home Rule government

Supervision Exercised:Work requires the occasional direction of helpers, assistants, seasonal employees, interns, or temporary employees.

Machines, Tools, Equipment, and Work Aids:Computer, printer, copier, telephone, and standard office equipment.

Specialized Computer Equipment and Software: Microsoft Office (especially Excel) and specialized accounting software.

Fiscal Responsibility:In this position, you will do research for documents, compile data for computer entry, and/or enter or oversee data entry. You will have responsibility for monitoring budget/fiscal expenditures (typically non-discretionary expenditures) for a work unit of less than department size (programs, activities, projects or small organizational units) or responsibility for fiscal management of capital project(s). Relevant Background and Formal Education The selected individual is required to have a bachelor's degree from an accredited college or university with major coursework in accounting, finance, business, or a related field. The selected individual will have a minimum of three years of full-time auditing, accounting, or tax collection experience related to this position. Finally, the selected individual will possess, or obtain upon hire, and maintain a valid Colorado driver's license. Additional Information

Physical Demands:This position requires the ability to lift up to 10 pounds occasionally.

Environmental Conditions Primary Work Environment

• Office with some travel from site to site Extreme Temperature

• Seasonally Wetness and Humidity

• Never Respiratory Hazards

• Never Noise and Vibrations

• Never Physical Hazards

• Never Mechanical and/or Electrical Hazards

• Never Exposure to Communicable Diseases

• Never This job announcement is not intended to include a complete listing of all responsibilities, knowledge, skills, and abilities associated with the position. Please visit https://coloradosprings.gov/jobs and click on 'Apply for a City Career' 'City Career Postings – Apply Now' button to complete an online application. All job applicants will need to create a new login and online application (unless you already have a NEOGOV/governmentjobs.com user ID and password). Completing your application in full, including the entire work experience section, will assist Human Resources (HR) in the applicant screening process. Your application may not be considered if all of the information requested for each employer you list is not provided. Our NEOGOV application system does not allow you to edit your application after it has been submitted for a position. If you want to make changes, you may submit another application prior to the position's closing date and time listed in the job posting. To view the status of your application, go to http://agency.governmentjobs.com/cosprings/default.cfm. To be notified of future career opportunities, go to http://coloradosprings.gov/jic If hired, you will be required to provide proof of your eligibility to work in the United States.

Equal Opportunity EmployerSalary: $4,208.33 - $5,495.46 Monthly Location: Finance

• City of Colorado Springs, CO Job Type: Full-time Job Number: 12448 Department: Finance Closing: 7/5/2017 11:59 PM Mountain Agency: City of Colorado Springs Address: 30 South Nevada Ave, Suite 702 Colorado Springs, Colorado, 80903. Phone: 719-385-5171 719-385-5171 Website: http://www.coloradosprings.gov

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Auditor (With Telecommunication Services Taxing Exp)

Hi, Greetings from AB2 Consulting Inc.
We have an interesting opportunity for you with our direct client.
The position the requirement details are mentioned below.
Job Title Auditor (with Telecommunication services Taxing Exp) Locations Atlanta, GA Duration 9 Months Mandatory Requirement Seeking consultant with demonstrated experience auditing telecommunication charges, taxes, fees, tariffs and other billing elements for identification of inapplicable or invalid charges and recovery of overpaid or invalid charges.
Telecommunication services to include SIP, DID, PRI, Centrex, Wide and Metro Area Networks and Wireless telecommunication services provided primarily by ATT.
Access to billing invoices, portals and payment details will be provided Provide at 3 references from customers that have received similar services.
Minimum of 5 yearsrsquo experience with auditing telecommunication charges and recovering overcharges.
Please response me back with resume and contact details at the earliest.
Regardshellip Senthil Talent Acquisition Group AB2 Rolling Meadows, IL, 60008 Phone e-Mail senthilab2consulting.com mailtosenthilab2consulting.com

Skills: experience auditing telecommunication charges, taxes, fees, tariffs and other billing elements, SIP, DID, PRI, Centrex, Wide and Metro Area Networks and Wireless

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Senior Internal Auditor (13410)

Description

Senior Internal Auditor  

Santa Clara, CA
This position reports to:
Internal Audit ManagerServiceNow is changing the way people work. With a service-orientation toward the activities, tasks and processes that make up day-to-day work life, we help the modern enterprise operate faster and be more scalable than ever before. We’re disruptive.  We work hard but try not to take ourselves too seriously.  We are highly adaptable and constantly evolving.  We are passionate about our product, and we live for our customers.  We have high expectations and a career at ServiceNow means challenging yourself to always be better. What you get to do in this role:
Lead, manage or assist with Operational and SOX Audits.
Lead, manage or assist with process improvement and other business optimization reviews.
Mentor and provide leadership to Audit Staff and Interns
Lead the review of internal controls, business processes, risk assessment and IT systems beyond the evaluation of SOX controls in a global organization.
Actively manage relationships with business partners and co-workers.
Lead various project management activities and other administrative tasks.
In order to be successful in this role, we need someone who has:
Excellent verbal, written, oral communication and presentation skills.
A minimum four year degree from an accredited university.  Industry certifications are a plus.
A minimum of 3 years, experience in internal or external auditing, operations, and/or process improvement in a technology or other high growth industry.
Prefer candidates with exposure to a high growth and/or rapidly changing enterprise in a technology environment. 
Prefer candidates with experience at a Big 4 accounting firm. 
Prefer experience in performing operational internal audits, Sarbanes Oxley risk assessments, financial and IT controls design and testing in an international organization.
We provide competitive compensation, generous benefits and a professional atmosphere. This is a very collaborative and inclusive work environment where individuals strong on aptitude and attitude will have an opportunity to grow their professional careers through working with some of the most advanced technology and talented developers in the business.

All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, protected veteran status, or on the basis of disability.

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Payroll Compliance Auditor (Entry Level)

Job Description:  
The compliance audit position includes detailed analysis of payroll analytical, technical and research tasks. They will work closely with employees, clients, supervisors, managers, and partners. Compliance Auditors evaluate compliance standards and provide audit reports from payroll.

Job Qualifications: 

• Excellent communication and interpersonal skills 

• Proficient in Microsoft Office- Excel, Word, Access, etc. 

• Detail-oriented with strong analytical and organizational skills 

• Ability to manage multiple tasks, meet deadlines and adapt to fast-paced environment 

• Bookkeeping or related payroll experience desired 

• Knowledge of payroll taxes and payroll systems recommended 

• Ability to work independently, and as part of a team 

• Minimum of one year payroll audit experience preferred; entertainment industry is a plus

• Travel (locally & out of state) required

Since 1941 Miller Kaplan Arase LLP has provided the highest quality of accounting and consulting services, with offices in Los Angeles, San Francisco, Seattle, Las Vegas, Denver and Sun Valley, Idaho. We are ranked among the 10 largest Los Angeles-headquartered accounting firms and are one of the top 100 public accounting firms in the United States. At Miller Kaplan Arase LLP we are committed to our employees reaching their highest potential while building a fulfilling career. We provide quality training, a lifetime learning experience and a positive work environment. The firm offers competitive salary with full benefits including medical, dental, vision, 401(k) profit sharing, LTD, FSA, paid holidays, vacation and sick days.

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Financial Systems Auditor

Position Title	Financial Systems Auditor
Requisition #	G-0317-103

Company Overview

Macalogic is a dynamic and growing company with broad competencies based on over a decade of experience working in the federal arena. We are an SBA-certified 8(a) and Economically Disadvantaged Woman-Owned Small Business (EDWOSB).  We provide IT technical, program management, and business consulting services to customers in the Government and Commercial sectors.
Our core values of accountability, collaboration, value, and respect are central to everything we do at Macalogic. As such, we are always open to talking to self-motivated and responsible team players who are focused on contributing to the success of our clients. We offer a generous benefits package and compensation commensurate with your experience and skillset.

General Description

We are seeking a Financial Systems Auditor to support the Financial Improvement and Audit Readiness (FIAR) task at Maxwell AFB, Gunter Annex, AL.  This individual will support an Air Force program responsible for obtaining the audit readiness required to comply with the Federal Information Systems Controls Audit Manual (FISCAM). The individual should have a minimum of four (4) years accounting or financial management experience. As a Macalogic team member, you will participate in the Air Force FISCAM/FIAR processes and preparation of the audit assertion packages necessary to achieve the critical audit readiness.

Duties and responsibilities

• Lead Auditor of an Audit Readiness Team responsible for preparing business systems in various Air Force Program Management Offices (PMOs) for the Congressionally mandated financial and IT audit (FIAR).
• Advise PMOs on how to engage auditors during on-site audit assessments and provide audit advise/counsel to PMOs during audits.
• Provide the Audit Readiness Team the audit methodology and strategy for ensuring each PMO is prepared to face the rigors of an Audit-Ready external IT audit.
• Conduct audit assessments that focus on system identity & access controls, process and application controls centered around hardware, software, security technical implementation guides, risk management, contingency process, interfaces, and all appropriate lifecycle documentation applicable to audits.
• Evaluate IT and Financial system processes/controls against Government mandated Compliance Guidance (i.e. FISCAM, DFAS Blue Book, FISMA, NIST/RMF, OMB Circulars) to determine the effectiveness of system controls.

Qualifications

Education

Bachelor’s degree in accounting or business management related field from an accredited institution.

Professional Certifications (desired, but not required)

• CPA
• CIA
• CISA
• CDFM
• CGFM

 Clearance

Either currently hold or ability to acquire a U.S. Security Clearance.

U.S. Citizen

Must be a U.S. Citizen.

Skills and Abilities

• Experience in Generally Accepted Accounting Principles (GAAP), Generally Accepted Government Auditing Standards (GAGAS), and Internal Controls Over Financial Reporting (ICOFR).
•  Experience in OMB Circulars A-123, A-127, A-134, A-136 and other OMB policies.
• Experience in Federal Accounting Standards Advisory Board (FASAB), Statements of Federal Financial Accounting Concepts (SSAC), and Statements of Federal Accounting Standards (SFFAS).
• Knowledge of DoD and Air Force financial management policies and procedures.
• Knowledge of Air Force policies, systems and procedures for personnel, acquisition, inventory, property and material management.
• Experience in financial audits or preparation of assertion packages.    

Other Characteristics (e.g., Personal or Language)

Excellent oral, written, and communication in English. Must be able to work in a team environment with members that include personnel from other companies, Government program management and administrative personnel, and technical staff members. This position may require travel of up to one week per month.

Working conditions, including location

Onsite at Maxwell-Gunter AFB, Montgomery, AL. Client duty hours Monday through Friday.

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Tax Accountant

POSITION TITLE:   Tax Accountant
DEPARTMENT/CATEGORY:  Finance
REPORTS TO:  Tax Manager
LOCATION:   World Headquarters – Elkhart, Indiana
PERFORMANCE SUMMARY:  The position is responsible for maintenance of NIBCO’s tax compliance program. 
RESPONSIBILITIES:

• Coordinate and prepare property tax returns.
• Gather data and assist in preparing Federal and State tax returns.
• Assist with sales and use tax compliance.
• Gather and analyze relevant data for tax return purposes.
• Research tax laws and regulations as necessary.
• Assist with year-end Federal and State tax provision work.
• Various special tax projects and tax audits.

EXPERIENCE REQUIRED:  2-3 years of tax accounting experience.
EDUCATION REQUIREMENTS:  Bachelor degree in Accounting required.
SKILLS REQUIRED:  Knowledge of tax compliance and good accounting, communication and financial analysis skills.  Strong spreadsheet and computer skills required.  Proficiency with Microsoft Excel, Word and PowerPoint.  SAP experience a plus.
COMPETENCIES:

• Attention to Detail
• Building Business Partnerships
• Customer Focus
• Planning & Organizing
• Problem Solving
• Teamwork
• Technical/Professional Knowledge
• Work Standards

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Hipaa Auditor

We specialize in logistics, supply chain management, warehousing, transportation, and customer service issues. It?s all we do and all we?ve ever done.

We don?t use logistics as a way of selling you something else. We know our clients want to save money and improve performance in the long run, but they also want to do so now. In many of our engagements, costs savings are realized within one or two quarters ? while setting the stage for even more sizable improvements down the line.

Description
This position is responsible for developing medical privacy and data security policy and collaborating with affected departments to implement appropriate procedures and measures to guarantee the privacy and security of protected health information.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned.

? Monitors the regulatory requirements under the Health Insurance Portability and Accountability Act of 1996 (HIPAA)law, creating HIPAA privacy and security programs and introducing policies promoting compliance.

? Provides development guidance and assists in the identification, implementation, and maintenance of health information privacy policies and procedures.

? Serves in a leadership role for coordinating privacy activities.

? Coordinates initial and periodic information privacy risk assessments and conducts related ongoing compliance monitoring activities in coordination with the MFA?s compliance and operational assessment functions.

? Works cooperatively with all department and/or health information staff and other applicable organization units in overseeing patient rights to inspect, amend, and restrict access to protected health information when appropriate.

? Establishes and administers a process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning the organization?s privacy policies and procedures.

? Assists in the development and delivery of initial and periodic privacy training and orientation to MFA employees and others as assigned.

Our Beliefs

We aren?t beholden to any particular solution or platform; our only concern is what is best for our clients.
Our work covers the ground from strategy through implementation. We can design a new strategy or analyze a problem, propose solutions and then oversee implementation, according to your needs.
We like ? really like ? what we do. There?s nothing more rewarding for us than tackling a difficult client problem, developing the best solution, and making the changes.

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Healthcare Privacy Auditor

The Global Markets group works with a wide variety of financial institutions to help identify, assess, and forecast political risks across markets and borders. Our research platform helps investors - including some of the world's largest hedge funds, money managers, mutual funds, private equity groups, and risk-management teams - anticipate instability and trends in countries where understanding the political landscape is critical.

Position Summary

This position will be responsible for checking the claim for completeness, for HIPAA compliance with procedures and to ensure that the costs are in line with the service or diagnosis received by utilizing online reference, Plan Summary Descriptions, Provider Contracts, and/or current coding manuals.

Audits Medical Claims, including errors from claims pricing, adjudication, adjustments, and bill issues
Audit completed claims for all products daily
Follows adjudication policies and procedures to ensure proper payment of claims
Audits randomly selected claims to ensure quality processing
Analyzes claims to determine appropriate reimbursement for par and non-par provider
Researches claim overpayments and requests funds
Develops and researches reports from various data sources for management
Maintains audit scores for all Examiners and tracks adit scores daily, monthly, quarterly and annually
Determines if the services provided are an eligible expense
Determines the benefit category under which benefits
Conducts periodic post audit of claims to alleviate any incorrect decisions
Investigates medical claim data and / or medical records to identify payment errors
Investigates medical claims on client claim systems, conducting medical incident & coding reviews
Analyzes and validate saudit findings according to payer regulations and payer processing guidelines / provider contracts
Communicates with management on audit findings, assist with error validation process
Thoroughly understands the benefit plan and remain current as plan requirements change in order to make decisions regarding claim processing

Requirements

At least 1 - 2 years HIPAA claims processing AND auditing experience
High school diploma with at least 1-3 years related experience required.
Knowledge of medicine and medical terminology, CPT, HCPCS, ICD.9, and DSM codes
Must have experience with UB92 forms
Familiar with all regulatory requirements including CMS and DHS
Must be able to work under general guidance of Claims Manager with little direct supervision
Must be meticulous and pay attention to detail.
EZ-Cap Experience is a plus
Strong data entry skills (10,000 keys strokes alpha/numerical)
Must be able to work independently and exercise judgement
Must be able to work on computer systems, accessing multiple files

Primary Services

?Direct advisory services: We offer in-person presentations, tailored to client interests, as well as full access to Eurasia Group's platform of research directors and senior analysts via phone and email.

?Country risk assessments: Our clients receive Eurasia Group's suite of daily, weekly, and monthly publications, ranging from brief event-driven notes to more in-depth forward-looking regional and global outlooks.

?Tailored projects & consulting: Our consulting mandates range from short-term transaction-specific due diligence to long-term analyses for institutions with ongoing exposure in specific regions.

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