This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The IT Systems Auditor (Senior Level) supports the assessment and evaluation of information system controls within federal financial management environments. This role requires a strong understanding of the Federal Financial Management Improvement Act (FFMIA) requirements and demonstrated experience applying those requirements when evaluating federal financial systems. - Plan, execute, and report on information systems control assessments. - Demonstrate knowledge of system development lifecycle phases and related documentation, including system requirements and design artifacts. - Familiarity with federal auditing standards and methodologies, including the Government Accountability Office (GAO) Federal Information Systems Controls Audit Manual (FISCAM) and the Federal Audit Manual (FAM). - Assess controls related to cybersecurity, access management, change management, and segregation of duties. - Evaluate controls within Enterprise Resource Planning (ERP) systems. - Produce comprehensive reports and working papers that include detailed findings and actionable recommendations for remediation. Qualifications - Bachelor’s degree in a relevant business or technical field. - Certified Public Accountant (CPA) in good standing. - Minimum four (4) years of applicable financial or business experience, including at least one (1) year supporting government environments. - Experience planning, executing, and documenting information systems control assessments. - Demonstrated experience evaluating controls within ERP systems. - Familiarity with Federal Acquisition Regulations (FAR). - Experience with DoD or Defense Logistics Agency (DLA) environments preferred. Requirements - Strong understanding of Federal Financial Management Improvement Act (FFMIA) requirements. - Knowledge of Federal accounting principles, including how financial data is captured, processed, and analyzed across accounting systems. - Familiarity with federal financial management and internal control frameworks including: - OMB Circular A-123 – Management’s Responsibility for Internal Control - OMB Circular A-127 – Financial Management Systems - OMB Circular A-134 – Financial Accounting Principles and Standards - Federal Information Systems Controls Audit Manual (FISCAM) - Experience assessing controls in the following areas: - Cybersecurity controls - Access controls - Change management controls - Segregation of duties Benefits - Proficiency with Microsoft Office applications including Excel, Word, PowerPoint, and MS Project. - Strong analytical, documentation, and technical writing skills. - Ability to produce detailed audit working papers, reports, and recommendations. - Relevant certification from a nationally recognized authority is preferred. Clearance Requirement - Must possess IT-II Non-Critical Sensitive clearance or Tier 3 (T3) at the time of proposal submission.

The Facility Audit Department at BCBST is searching for a talented Coding Auditor to join our dynamic team in performing detailed claims payment quality reviews and coding compliance audits. This role is essential in reviewing hospital claims to ensure appropriate reimbursement, as well as compliance with contracts, regulatory requirements, and BCBST guidelines. A unique aspect of this position is providing educational feedback and reports to TN facilities based on audit findings. While travel is not currently required, there may be rare occasions when traveling to a TN facility for an audit becomes necessary, so we’re seeking candidates who reside in Tennessee or continuous counties. The ideal candidate will bring a Bachelor’s degree or equivalent experience, together with at least two years of facility inpatient or outpatient coding and auditing experience, or reimbursement experience in a payer environment. An active AHIMA or CPC hospital certification (such as CCS, CIC, or COC) is required, or the willingness to obtain CCS within a year of hire. Experience with Facets is highly valued. We are especially excited to find someone eager to use Enterprise-AI approved tools in their work, helping us uncover opportunities for improvement and drive greater efficiencies. Job Responsibilities - Communicating audit results to appropriate parties; recommending corrective course of action. - Reviewing the claims materials and medical record information submitted and assessing accuracy of provider submitted claims. - Planning and conducting investigations for certain claims; identifying potential subrogation or fraud and engaging special investigate unit as needed. - Documenting audit results and supporting the development of audit policies and procedures. Job Qualifications Education - Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment. Experience - 2 years - Professional/ancillary or facility inpatient/outpatient coding and/or auditing experience in an applicable setting. ​Skills\Certifications - Current AHIMA or AAPC coding certification preferably CPC or CCS, will consider candidate who does not currently hold certification with the condition that the incumbent will successfully complete the certification exam within 12 months of employment. - Ability to handle confidential and sensitive information. - Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. - Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) - Proficient oral and written communication skills - Proficient interpersonal and organizational skills - Capacity to solve problems and manage multiple assignments with critical deadlines - Proven decision making and problem solving skills - Strong analytical skills - Positive attitude, self-driven, engaging, proactive, results drive - Solid knowledge and understanding of provider reimbursement methodologies, ICD-10 CM/PCS, CPT, HCPCS and applicable billing requirements (CMS-1500 or UB-04). - Must have the ability to apply the appropriate contract language, billing guidelines, medical and reimbursement policies - Must deal with continual resistance of providers to the audit and recovery process conducted by BCBST Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

• Deliver all assigned audit engagements within agreed timelines and deadlines. • Prepare accurate and complete audit documentation in line with HKSAs and firm quality standards, with minimal supervision. • Communicate effectively and promptly with clients to gather information, resolve queries, and explain audit findings. • Collaborate with team leaders and other departments to facilitate smooth audit processes.

🚀 Join REDW – A Top Workplace in the Southwest! Ready to grow your career at one of the Southwest’s largest and fastest-growing accounting and advisory firms? REDW LLC has been proudly recognized as a Top Workplace in both Arizona and New Mexico for 2021, 2022, 2023, 2024, and 2025 — and we’re just getting started! With offices in New Mexico, Arizona, Oregon, Las Vegas, and Oklahoma, we’re known not just for our professional excellence, but for our award-winning workplace culture — including accolades for Compensation, Remote Work, and Formal Training from AZCentral and The Albuquerque Journal. ✨ Position: Senior Audit Associate A Senior Audit Associate performs and supervises a broad range of accounting, auditing, and consulting activities for clients, including healthcare entities, not-for-profit clients, casinos and the hospitality industry, financial institutions, commercial businesses, and local and tribal governments. ✔️ What You’ll Do - Provides continuous attention, communication, and coordination to clients. - Builds relationships with senior level client personnel. - Obtains client expectations from management team and strategizes plan to meet client expectations. - Informs Principal and Manager about issues, helps prepare information to be communicated to client and documents key client discussions. - Develops project hour/cost budgets. - Provides supervision, assistance and feedback to staff. - Provides timely information about scope changes and informs Manager and/or Principal; and - Coordinates with Manager and/or principal to achieve committed deadlines. 💼 What You Bring - Bachelor’s degree in accounting or finance. - Passed, conditioned or qualified to take the CPA exam. - A minimum of two years' work experience in public accounting. - Willing to travel 💫 What Sets You Apart - Knowledgeable of AICPA professional standards. - Generally Accepted Accounting Principles (GAAP). - Financial Accounting Standards Board (FASB) pronouncements. - Governmental Accounting Standard Board (GASB) pronouncements. 🎉 Why You’ll Love Working at REDW Competitive Compensation - Salary range: $72,000-$108,000 - Final offer based on location, experience, skills, licensure, and business need - Pay transparency is central to our commitment to equity and fairness Comprehensive Benefits - Medical, Dental, Vision, Life, AD&D, and Disability Insurance - HSA and FSA options - 401(k) with employer match Wellness & Time Off - Monthly wellness reimbursements (e.g., gym, health apps, training) - Flexible PTO, Paid Sick Time, and 10 paid holidays Growth & Development - Access to REDW’s Spiirall learning platform - Support for credentialing and licensure exams - Personalized development resources and longevity awards Remote Work Support - Annual $150 work-from-home gear allowance - Essential technology and tools provided Inclusive, Award-Winning Culture - Recognized for excellence in Compensation, Remote Work, and Training - Committed to diversity, equity, and inclusion in all we do Equal Opportunity Employer REDW values diversity and is committed to equal opportunity in the workplace. We do not discriminate based on race, color, religion, gender, national origin, age, disability, sexual orientation, or any other protected status. If you require a reasonable accommodation during the hiring process, please email us at redwrecruitingteam@redw.com.