Healthcare Cost Accounting Leader | RVU & Data Integrity

Atlantic Health; Morristown (NJ); On-site; USD 120,000 - 180,000; Full time

Job summary

Atlantic Health is seeking a Manager of Cost Accounting to lead the healthcare cost accounting function, ensuring accurate costing across hospitals, departments, and service lines. You will govern RVU weighting, time studies, and workload assessments, partnering with Finance, Revenue Cycle, Supply Chain, and IT to optimize data quality and cost allocation methodologies.

The role requires directing monthly costing processes, maintaining methodologies, and driving continuous improvement in cost

Responsibilities

• Oversee the integrity, maintenance, and continuous improvement of the organization's healthcare cost accounting model.
• Manage the monthly and quarterly costing processes, including data validation, reconciliations, cost assignments, and balancing procedures.
• Develop, maintain, and document methodologies that appropriately assign direct and indirect costs across departments, patient services, physicians, procedures, and service lines.
• Establish and maintain cost allocation methodologies that reflect resource utilization and operational workflows.
• Lead periodic reviews and refinement of costing methodologies to reflect organizational, operational, and reimbursement changes.
• Maintain documentation of cost accounting assumptions, methodologies, controls, and governance processes.
• Serve as the organizational leader for Relative Value Unit (RVU) and workload-based costing methodologies.
• Partner with clinical, operational, and departmental leaders to conduct periodic time studies and workload assessments.
• Evaluate staffing models, workflow changes, and operational practices to ensure appropriate assignment of labor and indirect costs.
• Develop and maintain departmental RVU weighting methodologies used within the cost accounting system.
• Review and validate workload statistics, labor drivers, and allocation bases to ensure accurate costing outputs.
• Recommend methodology enhancements to improve the accuracy and credibility of cost information across the organization.
• Serve as the primary business owner and subject matter expert for healthcare cost accounting systems and associated data structures.
• Ensure the integrity and accuracy of financial, clinical, operational, payroll, supply chain, and billing data utilized in cost accounting processes.
• Collaborate with Information Systems, Revenue Cycle, Supply Chain, and Finance teams to develop, test, and implement new data feeds and system enhancements.
• Lead quality assurance reviews and data validation processes to ensure accuracy of costing results and allocation methodologies.
• Oversee periodic audits of cost accounting data, mappings, statistics, and allocation drivers.
• Maintain system tables, departmental mappings, cost-center relationships, charge master assignments, and statistical drivers within the cost accounting platform.
• Produce and distribute standard cost accounting outputs, including unit cost files and costing validation reports.
• Conduct analyses to identify anomalies, inaccuracies, or shifts in cost trends requiring methodology review.
• Provide technical expertise regarding costing methodologies and cost data interpretation to finance and operational stakeholders.
• Manage and develop cost accounting analysts and other assigned financial staff.
• Establish clear goals, expectations, work procedures, and performance standards.
• Conduct performance evaluations and provide ongoing coaching and professional development.
• Foster a culture of accountability, continuous improvement, and technical excellence.
• Lead departmental initiatives and special projects related to cost accounting, costing methodologies, and system optimization.

Job description

Atlantic Health is seeking a Manager of Cost Accounting to lead the healthcare cost accounting function, ensuring accurate costing across hospitals, departments, and service lines. You will govern RVU weighting, time studies, and workload assessments, partnering with Finance, Revenue Cycle, Supply Chain, and IT to optimize data quality and cost allocation methodologies.

The role requires directing monthly costing processes, maintaining methodologies, and driving continuous improvement in cost