About this role
Facility
Cape Fear Valley Medical CenterLocation
Fayetteville, North CarolinaDepartment
ReimbursementJob Family
ProfessionalWork Shift
Days (United States of America)Summary
Coordinate the cost report reimbursement function for the Medicare, Medicaid, and Tricare programs at a multi-facility health system.Major Job Functions
The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:
Coordinate and assist in the preparation of the annual Medicare, Medicaid, and Tricare cost reports including the collection of information required to prepare the reports
Coordinate and assist with any health system audits, requests or certifications conducted by MAC, NC Medicaid or independent auditors
Assist in the preparation of Wage Index and Charity Care submissions
Analyze GME/IME data to determine accurate Medicare/Medicaid Reimbursement
Collect and analyze data related to Nursing and Allied Health programs
Analyze data for accuracy and additional reimbursement opportunities
Coordinate documentation requests for Medicare, NC Medicaid or independent auditors
Perform Special Projects as directed
Other duties as assigned
Minimum Qualifications
The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:
Education and Formal Training:
Bachelor’s degree in accounting or finance required
Work Experience:
5 years’ experience in government cost report reimbursement at a multi-facility health system required
1 year experience preparing Medicare and Medicaid cost reports for LTAC, Critical Access Hospitals with Rural Health Clinics, Acute Care Hospitals, Teaching Hospitals with Inpatient Rehab, Hospice and Cancer Centers required
Knowledge, Skills, and Abilities Required:
Knowledge of Medicare regulations and NC Medicaid Reimbursement programs
Strong analytical and organizational skills
Working knowledge of GL (Workday) and Patient Accounting Systems (EPIC)
Excellent communication skills
Ability to work under pressure to meet deadlines
Physical Requirements:
Requires mobility to meet with management at their service area throughout the system
May require extended periods of sedentary work and extended working hours to meet stated objectives
Required Licenses and Certifications
Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity
Other facts
About Cape Fear Valley Health
Cape Fear Valley Health is a 988-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually. A private not-for-profit organization with 7,500 employees and 1,000+ physicians, it includes Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Health Pavilion North, Health Pavilion Hoke and Harnett Health.
Cape Fear Valley has been nationally recognized by:
Healthgrades as a Top 100 Hospital for Cardiac Care and Coronary Intervention
IBM Watson as a Top 50 Cardiovascular Hospital
The Leapfrog Group Grade-A for Patient Safety
North Carolina-Designated Level Three Trauma Designation
The Joint Commission: Disease Specific Certification in:
• Hip Replacement Surgery (Cape Fear Valley Medical Center and Hoke Hospital)
• Knee Replacement Surgery (Cape Fear Valley Medical Center and Hoke Hospital)
• Heart Failure
• Advanced Stroke
• AMI: Acute Myocardial Infarction
• Pneumonia (Cape Fear Valley Medical Center and Bladen County Hospital)
• Advanced Perinatal Care
• Sepsis (Cape Fear Valley Medical Center and Bladen County Hospital)
• Wound Care (Highsmith-Rainey Specialty Hospital)
• Chest Pain (Hoke Hospital)
• Acute Stroke Ready (Hoke Hospital)
American College of Cardiology: Chest Pain Center Accreditation
American College of Surgeons National Accreditation Program for Bariatric Surgery: Comprehensive Center
American College of Surgeons Commission on Cancer: Cancer Center Accreditation
American College of Surgeons National Accreditation Program for Breast Centers: Breast Care Center Accreditation
Commission on Accreditation of Ambulance Services: EMS
What you'll do
- The Senior Reimbursement Analyst coordinates the cost report reimbursement function for Medicare, Medicaid, and Tricare programs. This includes preparing cost reports, assisting with audits, and analyzing data for reimbursement opportunities.
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