Cincinnati Children's · 2 months ago
Reimbursement Analyst III
United States
Full-time
Remote
Mid, Senior Level
$68K/yr - $86K/yr
7+ years expCincinnati Children's is a leading children's hospital focused on improving children's health. The Reimbursement Analyst III will prepare Medicare/Medicaid cost reports, ensure compliance with regulations, and collaborate with cross-functional teams to manage cost reporting needs.
Health Care
Responsibilities
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
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
Responsible for classifying new cost centers by analyzing whether the labor matches the revenue generated and if not revenue whether or not the expense should 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 approaches for improvement activities, recommend and perform new processes, collect and measure data, develop processes based on performance and communicate results
Strong working knowledge of the state & federal cost reporting requirements in order to extract compliant data using our existing business intelligence software
Compare data to prior year to identity large variances that need further analysis, explanation, and documentation
Stay current with the 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 the regulatory changes to engage and educate leadership
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 including collaborating with other departments across the hospital to manage these requests
Provide reimbursement and regulatory updates to varying levels of leadership
Assist department leadership with training needs, review of work, and setting daily priorities
Qualification
Required
Bachelor'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 included but not limited to Worksheet C, D, G, H, I and B-1 statistics
Preferred
Master's degree in a related field
CPA
Benefits
Medical coverage starting day one of employment.
Competitive retirement plans
Tuition reimbursement for continuing education
Expansive employee discount programs through our many 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/Latin 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
Company
Cincinnati Children's
Cincinnati Children’s, a nonprofit academic medical center established in 1883, offers services from well-child care to treatment for the most rare and complex conditions.
10001+ employees
H1B Sponsorship
Cincinnati Children's has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (132)
2024 (109)
2023 (131)
2022 (124)
2021 (98)
2020 (68)
Funding
Current Stage
Late StageTotal Funding
$15.6MKey Investors
Nestle Purina PetcareNational Institutes of HealthFarmer Family Foundation
2025-12-29Grant
2024-03-12Grant· $2.6M
2023-04-20Grant· $5M
Leadership Team
Tony Johnston
Deputy Chief Information Officer, Vice President and CTO
Recent News
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