Employer Industry: Healthcare Services

Why consider this job opportunity:
- Competitive compensation and excellent benefits package, including Medical, Dental, Vision, and Prescription Drug Plan
- Opportunity for career advancement and growth within the organization
- Challenging and rewarding work environment
- Significant impact on financial outcomes and compliance for multiple healthcare facilities
- Join one of the nation’s largest and most respected providers of hospital and healthcare services

What to Expect (Job Responsibilities):
- Complete Medicare and Medicaid cost report submissions and related audit activities for assigned hospitals or entities
- Provide ongoing reimbursement consulting services to corporate business office and hospital executive staff
- Oversee and develop reimbursement strategies for Medicare alternate payment methodologies, focusing on bundled payments
- Manage reimbursement aspects of Medicare quality-based payment methodologies, including Value-Based Purchasing and Excess Readmissions
- Participate in the oversight and maintenance 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 related legislative processes
- Intermediate-to-advanced 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 concepts
- Understanding of Medicaid supplemental payment concepts and state-directed payments

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