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HMS Career Opportunities |
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HMS Career Opportunities |
Opportunity Snapshot
For the experienced healthcare auditor, the timing is impeccable to join HMS, the undisputed industry leader in coordination of benefits and program integrity services for government healthcare programs. In the current economic climate, there is a strong emphasis among policy leaders on cost containment and payment accuracy and with Medicaid spending projected to double in ten years, we are uniquely poised to capitalize on this billion dollar market.
Joining our newly created Medical Review Documentation Audit department, you will not only shape this role moving forward but also expand your competencies as you manage a variety of desk and field-based audits with Medicaid and other federal and state healthcare agencies. Pivotal to your success is hands-on knowledge of Government Auditing Standards, Generally Accepted Accounting Principles and applicable regulations of CMS Offices, State OIG, and related legislative practices and procedures.
In addition to your government auditing expertise, you will also be able to hold your own ground with hospital CEOs and other high-level decision-makers, exuding a polished demeanor and compelling confidence as you strive to develop strong working relationships with a variety of providers.
What Else You'll Bring to the Table
What's in It for You
More About Your Role
This is an individual contributor role and you'll report directly to the Senior Auditor. Generally our desk audits run anywhere from 1-3 days, while our field audits span 5-10 days and you'll juggle 5-10 audits concurrently in various stages of completion.
You may be actively working on two or more audits while you schedule and do advance planning for the upcoming audits and finalize others as you report your findings. As with any auditing position, you will aim to meet and exceed your targets as you drive to results and show off your multitasking prowess to effectively prioritize and complete work within stringent deadlines.
Keys to Success
To excel in this role you will bring a strong understanding of medical coding documentation audits and Medicaid/Medicare audits and take a proactive and innovative approach to building strong relationships and maintaining high levels of communication with all stakeholders. You will balance a consultative, problem-solving style with an aggressive, entrepreneurial drive.
For example, if a provider refuses to be audited, you will be able to make your case with great tact and diplomacy, and quickly develop operational knowledge. You'll independently drive your audits, maintaining a big-picture focus while keeping a razor-sharp handle on day-to-day details and employing sound judgment to develop accurate assessments and recommendations.
And finally, you'll continually evaluate the post-planning data to meet and exceed your targets and drive best practices to sustain our growth objectives.
If this sounds like the right mix of challenge and opportunity for you, and you meet the minimum qualifications, we want to hear from you!
Who We Are
Health Management Systems has always been focused exclusively on the healthcare industry. In 1985, we began providing third party liability identification and recovery services to our first Medicaid agency client. Since then, we've partnered with more than 45 Medicaid agencies, other state health programs, and more than 50 government-sponsored healthcare plans to help them recover billions of dollars and save billions more through cost avoidance.
We take a proactive approach to growing our company, both organically and via mergers and acquisitions, to ensure we provide our clients with a broad offering of best-of-breed cost containment strategies to meet their financial and operational goals.
Opportunity Snapshot
For the experienced healthcare auditor, the timing is impeccable to join HMS, the undisputed industry leader in coordination of benefits and program integrity services for government healthcare programs. In the current economic climate, there is a strong emphasis among policy leaders on cost containment and payment accuracy and with Medicaid spending projected to double in ten years, we are uniquely poised to capitalize on this billion dollar market.
Joining our newly created Medical Review Documentation Audit department, you will not only shape this role moving forward but also expand your competencies as you manage a variety of desk and field-based audits with Medicaid and other federal and state healthcare agencies. Pivotal to your success is hands-on knowledge of Government Auditing Standards, Generally Accepted Accounting Principles and applicable regulations of CMS Offices, State OIG, and related legislative practices and procedures.
In addition to your government auditing expertise, you will also be able to hold your own ground with hospital CEOs and other high-level decision-makers, exuding a polished demeanor and compelling confidence as you strive to develop strong working relationships with a variety of providers.
What Else You'll Bring to the Table
What's in It for You
More About Your Role
This is an individual contributor role and you'll report directly to the Senior Auditor. Generally our desk audits run anywhere from 1-3 days, while our field audits span 5-10 days and you'll juggle 5-10 audits concurrently in various stages of completion.
You may be actively working on two or more audits while you schedule and do advance planning for the upcoming audits and finalize others as you report your findings. As with any auditing position, you will aim to meet and exceed your targets as you drive to results and show off your multitasking prowess to effectively prioritize and complete work within stringent deadlines.
Keys to Success
To excel in this role you will bring a strong understanding of medical coding documentation audits and Medicaid/Medicare audits and take a proactive and innovative approach to building strong relationships and maintaining high levels of communication with all stakeholders. You will balance a consultative, problem-solving style with an aggressive, entrepreneurial drive.
For example, if a provider refuses to be audited, you will be able to make your case with great tact and diplomacy, and quickly develop operational knowledge. You'll independently drive your audits, maintaining a big-picture focus while keeping a razor-sharp handle on day-to-day details and employing sound judgment to develop accurate assessments and recommendations.
And finally, you'll continually evaluate the post-planning data to meet and exceed your targets and drive best practices to sustain our growth objectives.
If this sounds like the right mix of challenge and opportunity for you, and you meet the minimum qualifications, we want to hear from you!
Who We Are
Health Management Systems has always been focused exclusively on the healthcare industry. In 1985, we began providing third party liability identification and recovery services to our first Medicaid agency client. Since then, we've partnered with more than 45 Medicaid agencies, other state health programs, and more than 50 government-sponsored healthcare plans to help them recover billions of dollars and save billions more through cost avoidance.
We take a proactive approach to growing our company, both organically and via mergers and acquisitions, to ensure we provide our clients with a broad offering of best-of-breed cost containment strategies to meet their financial and operational goals.
