Sr. Cost Reporting Analyst- Reimbursment

Overview

USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most advanced medicine at multiple facilities, campuses, clinics and classrooms.

We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community.

The Senior Cost Reporting Analyst department responsibilities: requires minimal supervision to safely perform job functions; performs special projects and other work as assigned by management; prepares or assists with reports and surveys; displays a high level of computer and software expertise to complete assigned tasks and maintains knowledge base of software applications as needed for reporting and internal analyses for management;

creates and maintains ad hoc reports and assists with the conversion of existing files to new formats; assists with the interface with outside data support vendors as assigned by management; analyzes problems and opportunities related to Reimbursement and the cost reports; reports results to supervisor; prepares contractual allowance work papers for monthly entries and year-end adjustments for financial audits; assists in preparation of all aspects of interim and annual Medicare Cost Reports;

develops data throughout the year for the preparation of the annual CMS Medicare Cost Report. Knowledge of CMS Cost Reporting Rules and the Cost Report Structure is required; a keen understanding of the Health System’s Data and Reporting is required along with the ability to maintain an adherence to deadlines required to prepare data in a systematic nature to sequence the data for its availability in its proper progression;

formatting of the data necessary for Expenses, Revenue, Statistics and Adjustments according to CMS rules; knowledge of CMS Reporting Software is also required; develops and maintains knowledge of CMS Wage Index Rules and Requirements. Researches and prepares the Medicare Cost Reports S-3 annually; provides response and detail for the annual Wage Index Review; develops the data required for the CMS Medicare Occupational Mix Adjustment for submission as required in accordance with the MOMA Requirements and Instructions;

reviews the data submitted for correctness and accuracy; develops both an understanding of GME/IME requirements and the operational requirements of New Innovations; uses training and expertise to function as a resource to the Reimbursement Department and the Health System for GME records, reporting and requirements; experienced in the proper configuration of Rotations and Assignments, and the includable and excludable requirements of GME/IME training;

functions as a resource regarding the proper reporting of Medical Resident time and in the development of data for cost reports; annually develops, prepares, formats and verifies the data necessary for the Annual Medicaid Audit for submission to the State of Alabama; task requires data development in strict adherence to the current year’s rules as provided by the State; periodically develops data for Medicaid submission to states other than Alabama;

prepares and verifies the data required for the Medicare S-10. Assists the department managers with annual reviews, audits and examinations; develops expertise in the Cerner system with regards to tracing patient data related to charges, payments, balances and statistics necessary for Reimbursement reporting requirements; gain familiarity with the various reports produced by the Cerner system; determine the best and most accurate reports to use for Reimbursement reporting purposes;

attests that the Cerner data and reports balance to Banner Data and report any and assist in resolving any discrepancies; reviews and verifies codes, account numbers, and general ledger keys assigned by others to validate cost reporting information is correct; the Analyst will function as…