Medicare​/Medicaid Cost Reporting Specialist

Responsibilities

• Cost Reporting – Prepare Medicare/Medicaid Cost reports by developing supporting schedules. Develop supporting work papers in accordance with government cost reporting principles for management's review. Enter data into Medicare/Medicaid Cost Report Software. Progressive knowledge of Center for Medicare & Medicaid Services (CMS) cost reporting, DSH exam log files, IME/GME, Medicare Wage Index, Medicaid cost reporting and HCAP/Uncompensated Care. Responsible for 340B Trial Balance, registration, and recertification.
• Cost Accounting – Responsible for classifying new cost centers by analyzing whether the labor matches the revenue generated and, if not, whether the expense should be reclassified directly or allocated indirectly as overhead and determining which overhead category is appropriate. Develop and organize detailed work papers to support quarterly costing data. Recommend approaches for improvement activities, perform new processes, collect and measure data, develop processes based on performance and communicate results.
• Data Analysis – Strong working knowledge of state & federal cost reporting requirements to extract compliant data using existing business intelligence software. Compare data to prior year to identify large variances that require further analysis, explanation, and documentation.
• Compliance – Stay current with latest CMS and State Medicaid regulations related to cost reporting, reimbursement, and payment methodologies. Understand and communicate implications of regulatory changes on the institution, and proactively work to support compliance. Ability to model regulatory changes to engage and educate leadership.
• Collaboration – Establish working relationships with cross-functional teams such as IS, reimbursement/billing and hospital/clinical services to obtain data for cost reporting needs. Assist external parties (auditors, regulatory agencies) during audits, collaborate with other departments to manage these requests, provide reimbursement and regulatory updates to leadership, assist department leadership with training needs, review of work, and setting daily priorities.

• Bachelor’s degree in a related field
• Preferred:
  Master’s degree in a related field
• 7+ years of work experience in a related job discipline
• 4+ years of Medicare cost reporting experience
• MS Excel, Access, and Business Intelligence experience
• Familiar with CMS Medicare/Medicaid cost reports including various cost reporting worksheets such as Worksheets C, D, G, H, I and B-1 statistics.
• Preferred: CPA

Primary

Location:

South Campus

Schedule:

Full time

Shift: Day (United States of America)

Department:
Accounting – General

Employee Status:
Regular

FTE: 1

Weekly

Hours:

40

Expected Starting Pay Range:
Annualized pay may vary based on FTE status $67,537.60 – $86,112.00

Salary: $75–90K

Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability