Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive compensation and excellent benefits, including Medical, Dental, Vision, and Prescription Drug Plan
- 401k plan with company match
- Engage in a challenging and rewarding work environment
- Contribute to high-quality care for over 3 million patients annually

What to Expect (Job Responsibilities):
- Complete Medicare and Medicaid cost report submissions for assigned hospitals and related audit activities
- Provide independent hospital reimbursement consulting services to corporate business offices and hospital executive staff
- Oversee and develop reimbursement strategies for Medicare alternate payment methodologies and quality-based payment methodologies
- Review Medicare and Medicaid contractual models for compliance and accuracy
- Participate in the oversight and development of Medicaid supplemental payment programs for assigned facilities

What is Required (Qualifications):
- Bachelor's degree with 10+ years of experience in Medicare cost reporting and concepts
- Comprehensive knowledge of Medicare prospective payment systems including Inpatient Acute DRGs and Outpatient APCs
- Thorough understanding of Medicare statutes, regulations, and administrative rules
- Intermediate-to-Advanced level knowledge of Microsoft Excel
- Proficiency in HFS cost report software or its equivalent

How to Stand Out (Preferred Qualifications):
- Familiarity with McKesson G/L and Siemens Invision
- Specific knowledge of Graduate Medicare Education (GME) and Indirect Medical Education (IME) reimbursement
- Understanding of Medicaid supplemental payment concepts including state-directed payments

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