Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive compensation with excellent Medical, Dental, Vision, and Prescription Drug Plans
- 401k with company match
- Challenging and rewarding work environment
- Chance to make a significant impact on Medicare and Medicaid reimbursement processes

What to Expect (Job Responsibilities):
- Complete Medicare and Medicaid cost report submissions for assigned hospitals and related audit activities
- Provide ongoing hospital reimbursement consulting services to corporate business offices and hospital executive staff
- Oversee and develop reimbursement aspects of Medicare alternate payment methodologies, focusing on bundled payments
- Coordinate and develop Medicare quality-based payment methodology activities, including Value-Based Purchasing and Hospital Acquired Conditions
- 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 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
- Knowledge of Medicaid supplemental payment concepts, including state directed payments

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