Accede Solutions Inc (accedesolution.com) · 2 months ago
Non-Clinical - Finance/Accounting/Consultant
Sacramento, CA
Full-time
Onsite
Senior Level
5+ years expAccede Solutions Inc is a Nationally Certified Search firm providing services in multiple sectors. They are seeking a Non-Clinical - Finance/Accounting/Consultant to support reimbursement and cost reporting across the Sutter Health system, ensuring accuracy and compliance in reporting to regulatory agencies while conducting financial analysis for reimbursement and hospital key indicators.
B2BEmploymentRecruiting
Responsibilities
Perform reimbursement and cost reporting functions across all Sutter Health affiliates
Complete and file accurate and timely Medicare, Medicaid/Medi-Cal, and other state/federal regulatory reports and disclosures, ensuring compliance with internal policies and regulatory standards
Prepare well-documented workpapers to support revenues, expenses, and adjustments claimed in cost reports
Analyze accounting and financial data to identify non-allowable expenses and ensure proper reporting treatment
Support cost report audits, validate audit adjustments, and participate in the appeals process as needed
Conduct detailed financial analyses and reconciliations in Excel to support hospital cost accounting, H&KI reporting, and Medicare/Medicaid reimbursement
Develop multi-year projections on government payer revenues and reimbursement impacts from new legislation or regulatory changes
Maintain and validate contractual allowance calculations to ensure accurate third-party settlements and accounts receivable valuation
Ensure compliance with GAAP, Medicare/Medicaid reimbursement methodologies, and internal accounting policies
Collaborate closely with reimbursement, accounting, and finance teams across multiple facilities
Partner with affiliate CFOs and management to review findings, discuss audit results, and finalize report submissions
Support internal stakeholders (e.g., Managed Care, Budgeting, and Financial Planning) with reimbursement and cost data analysis
Communicate effectively with both technical and non-technical stakeholders to explain complex financial information clearly
Provide feedback, training, and technical guidance on cost report preparation and regulatory changes
Identify and recommend process improvements for data accuracy, reporting workflows, and compliance
Contribute to the team’s knowledge base on evolving reimbursement and audit requirements
Qualification
Required
Bachelor's degree in Accounting, Finance, Business, or Healthcare Administration (or equivalent experience)
Minimum 5 years of recent experience in healthcare reimbursement, cost reporting, or healthcare financial analysis
Strong foundation in GAAP accounting principles and healthcare regulatory reimbursement
Proficiency in advanced Excel (pivot tables, VLOOKUPs, data reconciliation, complex formulas)
Familiarity with H&KI (Hospital Key Indicators) or similar hospital financial performance metrics
Excellent analytical and communication skills, with the ability to translate complex data into actionable insights
Working knowledge of Medicare/Medicaid reimbursement rules, audit and appeals processes, and OSHPD reporting
Company
Accede Solutions Inc (accedesolution.com)
Accede Solutions is a Women- and Minority-Owned staffing firm specializing in Healthcare, Life Sciences, and IT workforce solutions.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase