Performs analytical, reimbursement, and hospital related cost report, audit and appeal functions for Hospitals in the UH System under direct oversight of Manager and Director of the UH Reimbursement Department.
Provide support for hospital month-end close processes for assigned hospitals
Maintain up-to-date knowledge of Medicare / Medicaid rules and regulations
Interpret third-party legislative rules and regulations and the impact on operations and financial performance
Assist and/or prepare internal system and/or hospital administrative data requests
Prepare annual hospital cost reports in accordance with CMS, State of Ohio, and Department of Defense (TriCare) regulations
Ensure that all supporting work papers are clear and concise and will meet requirements of CMS, State of Ohio and TriCare auditors as well as external/internal auditors
Assist and/or prepare audit responses and appeals of cost report issues
Prepare interim cost reports as needed for selected hospitals
Working alongside staff in general accounting, assist with new reporting and modeling tools, budget preparation and reimbursement analysis for new product lines
Assist with preparation of annual community benefits report
Provide support for 340B, Graduate Medical Education, Transplant, Tele-Medicine, Home Health and Hospice programs and other system initiatives
Work in adherence with established departmental procedures and/or protocols.
Identify and resolve readily identifiable, clearly-defined problems in course of activities.
Initiate and maintain positive relationships with patients/customers and co-workers
Takes responsibility for self-development and supports a learning environments
Display commitment to the mission of the UH system and its values
Perform other related duties as assigned
*This role may encounter Protected Health Information (PHI) as part of regular responsibilities. UH employees must abide by all requirements to safely and securely maintain PHI for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
Bachelor's degree required
CPA or advanced degree would be added bonus
Special Skills & Equipment Knowledge:
Minimum 5 year's work experience in hospital reimbursement/finance environment required
Must possess strong written and verbal communication and interpersonal skills
Must be detail-oriented and organized, with aptitude for accuracy
Must demonstrates professional demeanor
Notable client service, communication, presentation and relationship building skills required
Ability to function independently and as a team player in a fast-paced environment required
Proficiency in using PCs, Microsoft Office suite required
Knowledge and proficiency in using Medicare cost reporting software preferred
Five plus years experience in Medicare/Medicaid Cost Reports experience preferred.
Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity.
Location/Region: Cleveland, OH (US - 44118)