Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
DEFINITION
The position reports to the Mayor and is responsible for performing administrative and management duties, including all aspects of financial management, performing professional accounting and auditing functions, maintaining the financial system, reporting the City’s financial records and ensuring accuracy and legal compliance, and supervising and controlling the expenditures of all City funds.
ESSENTIAL FUNCTIONS
The essential functions or duties listed below are intended only as illustrations of the various type of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.
· Create and present the City budget to the City council and assure compliance with generally accepted accounting principles (GAAP) as well as the Uniform Municipal Accounting System (UMAS), and the Governmental Accounting Standards Board (GASB)
· Exercises the duties set out in MGL Chapter 41 §§ 50 and 52, including maintaining and monitoring all financial activity of the City for accuracy, accountability, and legal compliance; provides administrative, professional, and technical services for Enterprise Funds; develops, monitors, and adheres to procedures and policies on financial practices and internal controls.
· Oversees, audits, and processes payroll, accounts payable, and accounts receivable.
· Prepare and authorize weekly expenditure warrants and payroll.
· Monitors fiscal year activity, and analyzes expenditures/revenue projections, budget, and journal entries.
· Responds to requests for information and reports from departments, Finance Director, Mayor, City Council, and Schools.
· Obtains and maintains certifications and designations required by City.
· Oversees procurement; authorizes contracts as to appropriations; develops and maintains guidelines.
· Coordinates the annual municipal audit.
· Recognize and process tax and departmental revenue.
· Participate in and solve financial and operational challenges as they arise.
· Recognize, troubleshoot, research, and correct software challenges.
· Prepare and distribute various federal, City, and state reports including but not limited to the State required Schedule A report.
· Organize, analyze, interpret, and present monthly financial statements.
· Performs other related duties as required.
EDUCATION AND EXPERIENCE
Bachelor’s degree in Finance, Business Administration, and or accounting required. 3 to 5 years of related preferred; or any equivalent combination of education, training, certification, and experience. Certified Governmental Accountant status is preferred. The employee must also attend the annual Auditors conference.
Job Type: Full-time
Pay: $65,000.00 - $80,000.00 per year
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person
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