Experience the advantages of real career change
Join Piedmont to move your career in the right direction. Stay for the diverse teams you’ll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You’ll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.
Responsibilities:Organizing, coordinating, and performing the reimbursement function for Piedmont Healthcare and system entities, including the preparation of entity Medicare/Medicaid/ Tricare cost reports, surveys, audits, appeals, budget and planning in an effort to assist management in operational and compliance decisions. This position reports to the Piedmont Healthcare Government Reimbursement Executive Director.
KEY RESPONSIBILITIES:
1. Prepares and files Piedmont Healthcare Medicare/Medicaid/Tricare Cost Reports by applicable federal and state deadlines.
2. Prepares and maintains all schedules and analysis supporting cost report preparation.
3. Coordinates Medicare and Medicaid audits and prepares all supporting work papers and documentation.
4. Analyzes Medicare Administrative Contractor (MAC) correspondence and interim rate setting to ensure accurate reimbursement and compliance with regulations.
5. Works with senior management to research, analyze, and communicate reimbursement issues.
6. Prepares pro-formas with regard to third party reimbursement.
7. Monitors regulatory changes for compliance and also seeks ways to optimize reimbursement.
8. Assists Piedmont Healthcare and system entities with reimbursement percentages for use in calculating contractual reserves. Provides the Government Reimbursement Executive Director with research and ad hoc reporting, as directed.
9. Provides documentation for use in calculating monthly reserve requirements for Piedmont Healthcare and system entities.
10. Prepares and assists Piedmont Healthcare and system entities with Medicare, Medicaid, and state surveys.
11. Reviews and analyzes Medicare and Medicaid Remittance Advices to ensure proper payments.
12. Ensures all third- party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and account.
13. Reviews cost report settlements for accuracy and compliance with regulations.
14. Review cost report settlements and assists with appeal filings, where applicable.
15. Coordinates cost report reopening reviews and prepares all supporting documentation.
16. Assists with graduate medical education reporting for Piedmont teaching facilities.
17. Assists with the completion and timely submission of the Interns and Residents Information System (IRIS) software program to Medicare.
18. Prepares the Allied Health reporting and reimbursement for cost report filing.
19. Prepares the Wage Index and Occupational Mix Survey filings and reviews.
Qualifications:Education
Work Experience
Licenses and Certifications
...asset, especially French or German Proficient in MS Office (Excel, Word, PowerPoint, Visio and Project) and planning software and online collaboration tools Proficient in the use of SDL Trados or similar CAT-tools Good knowledge of SDL Multiterm/XTM an advantage...
Create a Job AlertInterested in building your career at Vox Media, LLC? Get future opportunities sent straight to your email.
...Job Details: Now Hiring: MEP BIM Manager NYC (Where Precision Meets Power) You dont just coordinate modelsyou command them. Were on the hunt for an MEP BIM Manager who can walk into a clash detection meeting and leave nothing standing but solutions. Someone...
...TEAM: ACTUARIAL & ECONOMIC SERVICESPAY TYPE: SALARYJOB OVERVIEW:Join the leader in workers compensation data and information services in the role of Assistant Actuarial Analyst where you will produce standard actuarial analyses for NCCIs actuarial products and services...
Overview: $14.25/hour Ages 18+. A valid US Driver's License is required. At Cedar Point, work is FUN! Working as a Office Cleaning Associate, youll assist in keeping up with the daily cleanliness of office spaces throughout the park. Youll also Clean office...