<p>We are seeking a skilled Revenue Systems Auditor to lead compliance assurance and auditing functions across Skilled Nursing and Senior Living settings. This position is centered on upholding regulatory standards, ensuring precise billing, and safeguarding operational consistency by performing targeted audits, readying sites for Medicaid and state reviews, and maintaining optimal system setups. The successful applicant will possess hands-on expertise with PointClickCare and a proven record in financial controls and regulatory compliance. If you are someone who is well versed with PointClickCare software and come with 5+ years of experience with medicaid and medicare billing, audit and compliance, please contact Melissa Valenzuela at 816-601-1192 for further details! </p><p><br></p><p>Key Duties:</p><ul><li>Review and audit resident trust accounts for adherence to state and federal guidelines, flagging issues and driving remediation efforts.</li><li>Assess and enhance PointClickCare system setups, including configuration of billing processes, rate structures, and payer profiles, to reinforce accuracy and regulatory compliance.</li><li>Direct audit readiness for Medicaid and state inspections by compiling supporting materials and managing communications with oversight authorities.</li><li>Coordinate the gathering and submission of facility revenue and spending data for Treasury cost report requirements, guaranteeing completeness and timeliness.</li><li>Supervise provider credentialing and enrollment processes, verifying all payer agreements are current and promptly resolving billing-related concerns.</li><li>Educate facility managers and revenue cycle teams about compliance expectations, audit strategy, and evolving regulations.</li><li>Execute comprehensive reconciliations and document audit outcomes to ensure financial soundness of billing and trust account activities.</li><li>Diagnose and resolve system issues that affect claim processing and payments, introducing improvements to support workflow efficiency.</li><li>Work closely with interdisciplinary teams on compliance efforts and process improvements for operational enhancement.</li><li>Deliver ongoing briefings and training sessions to staff regarding new system features and changing compliance protocols, ensuring organization-wide preparedness.</li></ul><p><br></p>

• Minimum of 5 years' experience in revenue cycle compliance or auditing within healthcare settings.<br>• Advanced knowledge of PointClickCare system setup and trust fund accounting.<br>• Proven expertise in Medicaid audits and cost report data collection for Treasury or corporate finance teams.<br>• Strong understanding of Medicare/Medicaid billing compliance and clearinghouse processes.<br>• Exceptional skills in auditing, reconciliation, and documentation with high attention to detail.<br>• Ability to effectively communicate compliance findings and collaborate with multiple departments.<br>• Proficiency in Microsoft Word, Excel, and Outlook.<br>• Organized and detail-oriented with the ability to prioritize tasks in a fast-paced environment.

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