Cost Report Analyst - Senior

Responsible for independently preparing, reviewing, and filing Medicare Cost Reports.  Coordinate all audits, appeals, amendings, and reopenings related to the Medicare Cost Report.  Actively peer review other analysts cost reports.  Responsible for independently preparing, reviewing and filing Hospitals Annual Reports.  Provide expertise, training, coaching, and project direction to Cost Report Associates and Analysts.

Major Responsibilities


Ø  Meet all deadlines, both internal and external.


 


Ø  Work independently on all Cost Report and HAR responsibilities. Provide support and coaching to Cost Report Associates and Analysts. Provide Medicare expertise and instruction to the Reimbursement staff.


 


Ø  Prepare annual Data Requests for Site Finance.


 


Ø  Prepare and file Medicare Cost Reports.


 


Ø  Prepare and file amended and reopened Cost Reports.


 


Ø  Lead annual Cost Report peer review process. Review other analysts’ cost reports. Provide detailed review notes. Respond to peer review notes.


 


Ø  Coordinate / facilitate Fiscal Intermediary (FI) audits and desk reviews. Respond to FI data requests. Act as a liaison between the FI and the organization's Site Finance / System Office Accounting staff.


 


Ø  Manage all provider appeals including correspondence, documentation, tracking, regulatory filings, and administrative resolution of open issues.


 


Ø  Attend designated Reimbursement and provider / department staff and leadership meetings.


 


Ø  Attain 16 hours of Medicare / Medicaid related continuing education.
 


 



Qualifications


Ø  Education:


§ B.S. / B.A. required, preferably in Business Administration or related field


 


Ø  Experience:


§ 4+ years of Medicare Reimbursement experience with a Fiscal Intermediary, Public Accounting, Health Care Provider, or Consulting background.


§ Applied knowledge in accounting and finance.


 


Ø  Leadership:


§ Results driven; accountable for achieving personal and departmental performance standards as dictated in policies and procedures.


§ Focused on providing the highest possible level of professionalism to Site Finance and to Fiscal Intermediary auditors.


§ Demonstrate active personal and professional growth.


§ Able to provide coaching and direction to less experienced staff.


§ Lead internal Cost Report peer review process.


 


Ø  Skills:


§ Communication:


- Effective solution-oriented communicator as demonstrated through professional written and verbal skills.


- Ability to build positive working relationships outside the immediate work group.


- Able to communicate difficult Medicare / Cost Report concepts in a simple but effective manner.


 


§ Computer:


- PC applications in a Windows environment, with specific emphasis on MS Excel, MS Access, MS Word, and MS Outlook.


 


§ Organizational:


- Able to prioritize workload.


- Able to handle expected volume of work.


- Adapts well to change.


- Understand and apply new concepts.