Medicare​/Medicaid Cost Reporting Analyst

Reimbursement Analyst III

Apply for the Reimbursement Analyst III role at Cincinnati Children’s.

• Cost Reporting – Prepare the 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. Demonstrate 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 revenue or expense should be directly reclassified or indirectly allocated as overhead and which overhead category is appropriate. Develop and organize detailed work papers to support quarterly costing data. Recommend and implement improvement activities, new processes, and collect and measure data, develop processes based on performance, and communicate results.
• Data Analysis – Strong working knowledge of state & federal cost reporting requirements in order to extract compliant data using existing business intelligence software. Compare data to prior year to identify large variances that need 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 the implication that changes to regulations will have on the institution and proactively work to support changes to comply with new regulations. 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 across the hospital to manage requests, provide reimbursement and regulatory updates to leadership, and 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 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

• $67,537.60 – $86,112.00 (annualized, may vary based on FTE status)

• Medical coverage starting day one of employment
• Competitive retirement plans
• Tuition reimbursement for continuing education
• Extensive employee discount programs with community partners
• Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
• Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL – LGBTQA Resource Group, Juntos – Hispanic/Latino Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
• Physical and mental health wellness programs
• Relocation assistance available for qualified positions
• Benefits may vary based on FTE status and position type

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