Senior Reimbursement Analyst-Full Time-Days jobs in United States
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Cape Fear Valley Health · 22 hours ago

Senior Reimbursement Analyst-Full Time-Days

Cape Fear Valley Health is a multi-facility health system, and they are seeking a Senior Reimbursement Analyst to coordinate the cost report reimbursement function for Medicare, Medicaid, and Tricare programs. The role involves preparing cost reports, assisting with audits, and analyzing data for reimbursement opportunities.

Health CareHealth DiagnosticsHospitalNon ProfitRehabilitation

Responsibilities

Coordinate and assist in the preparation of the annual Medicare, Medicaid, and Tricare cost reports including the collection of information required to prepare the reports
Coordinate and assist with any health system audits, requests or certifications conducted by MAC, NC Medicaid or independent auditors
Assist in the preparation of Wage Index and Charity Care submissions
Analyze GME/IME data to determine accurate Medicare/Medicaid Reimbursement
Collect and analyze data related to Nursing and Allied Health programs
Analyze data for accuracy and additional reimbursement opportunities
Coordinate documentation requests for Medicare, NC Medicaid or independent auditors
Perform Special Projects as directed
Other duties as assigned

Qualification

AccountingGovernment cost report reimbursementMedicare regulationsAnalytical skillsGL (Workday)Patient Accounting Systems (EPIC)Organizational skillsCommunication skillsWork under pressure

Required

Bachelor's degree in accounting or finance required
5 years' experience in government cost report reimbursement at a multi-facility health system required
1 year experience preparing Medicare and Medicaid cost reports for LTAC, Critical Access Hospitals with Rural Health Clinics, Acute Care Hospitals, Teaching Hospitals with Inpatient Rehab, Hospice and Cancer Centers required
Knowledge of Medicare regulations and NC Medicaid Reimbursement programs
Strong analytical and organizational skills
Working knowledge of GL (Workday) and Patient Accounting Systems (EPIC)
Excellent communication skills
Ability to work under pressure to meet deadlines
Requires mobility to meet with management at their service area throughout the system
May require extended periods of sedentary work and extended working hours to meet stated objectives

Company

Cape Fear Valley Health

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Cape Fear Valley Health offers treatments and medicine for heart disease along with replacement surgeries, rehab, pastoral care, and more.

Funding

Current Stage
Late Stage

Leadership Team

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Michael Nagowski
Chief Executive Officer
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Bret Johnson
Chief Financial Officer
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Company data provided by crunchbase