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 with company match
- Engaging and challenging work environment
- 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 for assigned hospitals or other employer entities, including desk reviews and audit activities
- Provide independent hospital reimbursement consulting services to corporate business offices, regional finance, and hospital executive staff
- Oversee and develop reimbursement aspects of Medicare alternate payment methodology activities, with a focus on bundled payments
- Manage reimbursement aspects of Medicare quality-based payment methodology activities, including Value-Based Purchasing and Hospital Acquired Conditions
- Participate in the oversight and development of Medicaid supplemental payment programs for assigned facilities

What is Required (Qualifications):
- Bachelor’s degree with at least 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
- Strong knowledge of Medicaid supplemental payment concepts and Medicare alternate payment concepts
- Intermediate-to-Advanced level knowledge of Microsoft Excel

How to Stand Out (Preferred Qualifications):
- Familiarity with Mckesson G/L and Siemens Invision
- Proficiency in HFS cost report software or its equivalent

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