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Posted: Sunday, September 17, 2017 4:41 AM

Under the general guidance and supervision the duties of this position include completing accurate annual Medicare cost reports for complex acute hospitals, including those with distinct part psychiatric, rehabilitation, SNF, HHA, CORF, organ transplant, resident and RHC programs. It is incumbent upon this position to ensure the reports are in full compliance with current laws and regulations. These reports include all required supplemental data reports such as: (a) CMS Form 339, (b) Wage Index data, (c) Medicare bad debts and (d) physicians compensation information. Duties include completing accurate annual California Department of Health Services (DHS), Medicaid (Medi:Cal) cost reports and all related supplemental reports such as: (a) Medi:Cal supplemental report for acute hospitals under contract and non:contract arrangements, (b) County Medical Services Program (CMSP) and (c) Rate Development Branch. This position works closely with Medicare and Medi:Cal Auditors during audit process providing requested supporting documentation. Duties include reviewing up to four Sutter Health affiliatesA? submitted monthly contractual calculations with the supervision and review by the Reimbursement Manager and/or Sr. Reimbursement Specialist. The person in this position will help prepare and submit special reports required by the California DHS and Medicare fiscal Intermediaries in conjunction with cost report submission and settlement analysis. Other special projects will be occasionally assigned.Education:
Bachelor Degree in Business with major in Accounting and/Finance is required
Experience: A: Must have experience in healthcare, auditing, working, analyzing and completing Medicare cost reports (CMS Form 2552:96 and CMS Form 339), and Medi:Cal cost reports with related supplemental schedules (A and I Forms). Must have knowledge in the application and treatment of revenues and expenses, and various payment methodologies used by the Medicare and Medi:Cal programs. This level is typically obtained in 3 to 4 years of direct experience. A: Must have the experience and thorough understanding of the correct application and calculation of Medicare and Medi:Cal entitlements, applying current Medicare and Medi:Cal laws and regulations governing facility entitlements under Title XVIII and Title XIX for Acute Hospitals, Skilled Nursing Facilities (SNF), Home Health Agencies (HHA), Rural Health Clinics (RHC), Psychiatric Hospitals, Rehabilitation Units, and hospitals with medical education and organ transplant programs. A: Must have experience working and understanding the hospital accounting systems, accrual basis of accounting, audit processes, and working paper presentation and cross:referencing. A: Must have experience in the application and use of licensed Medicare/Medi:Cal cost report software programs. A: Must have a good understanding of accounts receivable valuation methodologies and calculation of contractual allowances. A: Must have experience using personal computers and related software applications such as (a) spreadsheets, (b) word processing, (c) e:mail and (d) cost reporting software. Experience with the MedSeries4 mainframe system is considered a plus. Knowledge: A: Must be knowledgeable and understand all of the Medicare and Medi:Cal compliance cost reporting requirements. A: Must be knowledgeable and understand the laws and regulations governing Medicare and Medi:Cal reimbursement affecting Acute Hospitals, Psychiatric Hospitals, Physical Rehabilitation Units, SNF, HHA, RHC, and inpatient and outpatient payment systems under Title XVIII and Title XIX of the Act. A: Must be knowledgeable and understand hospital accounting system and the accrual basis of accounting. A: Must know how to use personal computer and related applications such as (a)spreadsheet, (b) word:processing (c) e:mail and (d) cost reporting software application. Knowledge of the MedSeries4 system is considered a plus. A: Must know how to write brief

Source: https://www.tiptopjob.com/jobs/72177612_job.asp?source=backpage


• Location: Roseville, Sacramento

• Post ID: 18843747 sacramento
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