Jobs · OTHR · North Carolina

Medicare Cost Report Coordinator-Full Time- Days

Cape Fear Valley Health · Fayetteville, NC · 2 wk ago
OTHRFull-time

Summary

Aids in the development, administration, and monitoring of reimbursement services, strategies, and goals while ensuring compliance with regulatory requirements. Assists with Medicare, Medicaid, and Tricare reimbursement.

Major Job Functions

  • Supports the health system's reimbursement function across multiple facilities.
  • Prepares annual Medicare and Medicaid cost reports, coordinating necessary data and studies.
  • Coordinates with fiscal intermediaries for rate changes and regulatory updates.
  • Reviews and interprets new reimbursement regulations to ensure compliance.
  • Develops and implements new record-keeping procedures as needed.
  • Participates in health system audits and reviews, providing information as requested.
  • Analyzes and coordinates changes based on healthcare government regulations, transmittals, and intermediary bulletins.
  • Assists with Reserve Analysis and operating procedure reviews.
  • Supports special projects, including feasibility studies, financial analyses, and contract negotiations.
  • Calculates and manages third-party contractual allowances and journal entries.

Qualifications

  • Associates degree in Accounting, Finance, or related field required.
  • Minimum of three years experience in hospital reimbursement environments, or Intermediary (MAC).
  • Working knowledge of Medicare and Medicaid regulatory requirements.
  • Experience with Cost Report software, preferably HFS.
  • Experience with spreadsheets, including pivot tables, advanced filters, and functions like Sunif and Vlookup.
  • Ability to grasp new concepts quickly and communicate effectively with various levels of management.

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