Employer Industry: Healthcare Services

Why consider this job opportunity:
- Competitive compensation with opportunities for career advancement and growth within the organization
- Excellent benefits, including Medical, Dental, Vision, and Prescription Drug Plan
- 401k plan with company match
- A challenging and rewarding work environment
- Opportunity to contribute to high-quality care for over 3 million patients annually

What to Expect (Job Responsibilities):
- Complete Medicare and Medicaid cost report submissions for assigned hospitals or other entities, including related desk reviews and audit activities
- Provide independent hospital reimbursement consulting services to corporate business offices, regional finance, and hospital executive staff
- Oversee and develop reimbursement aspects of Medicare alternate payment methodology activities, with a focus on bundled payments
- Manage reimbursement aspects of Medicare quality-based payment methodologies, including Value-Based Purchasing and Excess Readmissions
- Participate in the oversight and maintenance of Medicaid supplemental payment programs for assigned facilities

What is Required (Qualifications):
- Bachelor's degree with 10+ years of experience in Medicare cost reporting and concepts
- Comprehensive knowledge of Medicare prospective payment systems, including Inpatient Acute DRGs and Outpatient APCs
- Thorough understanding of Medicare statutes, regulations, and administrative rules
- Intermediate-to-Advanced level knowledge of Microsoft Excel
- Proficiency in HFS cost report software or its equivalent

How to Stand Out (Preferred Qualifications):
- Familiarity with McKesson G/L and Siemens Invision software
- Specific knowledge of Graduate Medicare Education (GME) and Indirect Medical Education (IME) reimbursement
- Understanding of Medicaid supplemental payment concepts, including state directed payments

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