Cape Fear Valley Health
Medicare Cost Report Coordinator-Full Time- Days
Cape Fear Valley Health, Fayetteville, North Carolina, United States, 28305
Summary
Assists with the development, administration and monitoring of reimbursement services, strategies and goals and ensures compliance with regulatory requirements. Facility
Cape Fear Valley Medical Center Location
Fayetteville, North Carolina Department
Reimbursement Job Family
Professional Work Shift
Days (United States of America) Major Job Functions
Assists in the health system's reimbursement function for the Medicare, Medicaid, and Tricare programs. Assists in the preparation of the annual Medicare and Medicaid cost reports including coordination of information required to prepare the report such as program logs, financial and statistical data, and physician time studies. Assists with periodic rate changes as initiated by the fiscal intermediary, CMS and/or other regulatory agencies. As assigned, reviews current changes in governmental reimbursement regulations to ensure the organization is in compliance. Helps develop new record keeping procedures as required by new reimbursement regulations or payment methods. Assists with any health system audits, reviews or certifications conducted by the fiscal intermediary. Addresses informational requests between the fiscal intermediary and the independent auditors, as assigned by the Manager. Analyzes, interprets and coordinates appropriate changes according to healthcare government regulations, transmittals and intermediary bulletins for Medicare, Medicaid and Tricare. Assists with Reserve Analysis on assigned hospitals that measures the adequacy of Medicare/Medicaid Reserves. Assists senior staff in reviewing existing operating procedures and makes recommendations to maximize operating efficiency and reimbursement. Assists with Special Projects to include feasibility studies, financial analyses, contract negotiations, proformas, and financial/operational reviews for possible acquisitions. May be involved in calculating monthly third party contractual allowances and journal entries. Performs other job‑related duties as directed. Qualifications
Knowledge and/or training in the use of Cost Report software, preferably HFS. Experience with spreadsheets, including pivot tables, advanced filters and Vlookup functions. Education And Formal Training
Associate’s degree in Accounting, Finance or other related field required. Work Experience
Minimum of three years experience in a hospital reimbursement environment, or Intermediary (MAC). Candidate has a working knowledge of Medicare and Medicaid regulatory requirements for compliant hospital billing and financial reporting with multi‑facility experience. Knowledge, Skills And Abilities Required
Ability to perform diverse tasks with firm deadlines without sacrificing accuracy and quality. Requires an experienced Windows, Excel, and Word user. Must be computer literate. Requires the ability to grasp new concepts quickly. Must possess effective communication skills with the capability of communicating with various levels of management. Physical Requirements
Must be able to see and read reports, computer display terminals and have manual dexterity to keypunch data via a keyboard. Requires mobility to meet with management at their service area throughout the facility. May require extended periods of sedentary work and extended working hours to meet stated objectives. Audit And Technical Competencies
Assists in maintaining policies and procedures for regulatory compliance. Analyzes, interprets and coordinates appropriate changes according to healthcare government regulations, transmittals and intermediary bulletins for Medicare, Medicaid and Tricare. Receives, organizes and maintains a central repository of all healthcare regulations and bulletins. Assists with creating and maintaining system procedures for ensuring appropriate government changes are processed timely and accurately system wide. Develops, recommends and updates policies and procedures for areas of responsibility consistent with legal and regulatory requirements. Communicates with external consultants and the Medicare intermediary for final interpretations of regulatory guidelines, as needed. Required Licenses And Certifications
Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity.
#J-18808-Ljbffr
Assists with the development, administration and monitoring of reimbursement services, strategies and goals and ensures compliance with regulatory requirements. Facility
Cape Fear Valley Medical Center Location
Fayetteville, North Carolina Department
Reimbursement Job Family
Professional Work Shift
Days (United States of America) Major Job Functions
Assists in the health system's reimbursement function for the Medicare, Medicaid, and Tricare programs. Assists in the preparation of the annual Medicare and Medicaid cost reports including coordination of information required to prepare the report such as program logs, financial and statistical data, and physician time studies. Assists with periodic rate changes as initiated by the fiscal intermediary, CMS and/or other regulatory agencies. As assigned, reviews current changes in governmental reimbursement regulations to ensure the organization is in compliance. Helps develop new record keeping procedures as required by new reimbursement regulations or payment methods. Assists with any health system audits, reviews or certifications conducted by the fiscal intermediary. Addresses informational requests between the fiscal intermediary and the independent auditors, as assigned by the Manager. Analyzes, interprets and coordinates appropriate changes according to healthcare government regulations, transmittals and intermediary bulletins for Medicare, Medicaid and Tricare. Assists with Reserve Analysis on assigned hospitals that measures the adequacy of Medicare/Medicaid Reserves. Assists senior staff in reviewing existing operating procedures and makes recommendations to maximize operating efficiency and reimbursement. Assists with Special Projects to include feasibility studies, financial analyses, contract negotiations, proformas, and financial/operational reviews for possible acquisitions. May be involved in calculating monthly third party contractual allowances and journal entries. Performs other job‑related duties as directed. Qualifications
Knowledge and/or training in the use of Cost Report software, preferably HFS. Experience with spreadsheets, including pivot tables, advanced filters and Vlookup functions. Education And Formal Training
Associate’s degree in Accounting, Finance or other related field required. Work Experience
Minimum of three years experience in a hospital reimbursement environment, or Intermediary (MAC). Candidate has a working knowledge of Medicare and Medicaid regulatory requirements for compliant hospital billing and financial reporting with multi‑facility experience. Knowledge, Skills And Abilities Required
Ability to perform diverse tasks with firm deadlines without sacrificing accuracy and quality. Requires an experienced Windows, Excel, and Word user. Must be computer literate. Requires the ability to grasp new concepts quickly. Must possess effective communication skills with the capability of communicating with various levels of management. Physical Requirements
Must be able to see and read reports, computer display terminals and have manual dexterity to keypunch data via a keyboard. Requires mobility to meet with management at their service area throughout the facility. May require extended periods of sedentary work and extended working hours to meet stated objectives. Audit And Technical Competencies
Assists in maintaining policies and procedures for regulatory compliance. Analyzes, interprets and coordinates appropriate changes according to healthcare government regulations, transmittals and intermediary bulletins for Medicare, Medicaid and Tricare. Receives, organizes and maintains a central repository of all healthcare regulations and bulletins. Assists with creating and maintaining system procedures for ensuring appropriate government changes are processed timely and accurately system wide. Develops, recommends and updates policies and procedures for areas of responsibility consistent with legal and regulatory requirements. Communicates with external consultants and the Medicare intermediary for final interpretations of regulatory guidelines, as needed. Required Licenses And Certifications
Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity.
#J-18808-Ljbffr