Medicare/Medicaid Cost Reporting Specialist

CO00 Children's Hospital Medical Center; United States; On-site; USD 67,537 - 90,000; Full time

Benefits offered by this job

Medical coverage starting day one of employment

Competitive retirement plans

Tuition reimbursement for continuing education

Employee discount programs

Physical and mental health wellness programs

Relocation assistance available

Job summary

CO00 Children's Hospital Medical Center is seeking an experienced Cost Reporting Specialist. This role involves preparing Medicare/Medicaid Cost reports and analyzing new cost centers. Ideal candidates will have over 7 years of experience in related disciplines and familiarity with CMS regulations.

We offer competitive compensation ranging from $75,000 to $90,000 annually along with a generous benefits package that includes medical coverage, retirement plans, and tuition reimbursement. Start your career in an environment dedicated to respect and equality.

Qualifications

• 7+ years of work experience in a related job discipline.
• 4+ years of Medicare cost reporting experience.
• Familiar with various cost reporting worksheets.

Responsibilities

• Prepare the Medicare/Medicaid Cost reports.
• Analyze and classify new cost centers.
• Stay current with CMS and State Medicaid regulations.

Skills

MS Excel

Access

Business Intelligence

CMS Medicare/Medicaid cost reports

Education

Bachelor's degree in a related field

Master's degree in a related field

CPA

Job description

Job Responsibilities

Prepare the Medicare/Medicaid Cost reports by developing supporting schedules. Develop supporting work papers in accordance with government cost reporting principles for management's review. Enter data into Medicare/Medicaid Cost Report Software.

Progressive knowledge of Center for Medicare & Medicaid Services (CMS) cost reporting, DSH exam log files, IME/GME, Medicare Wage Index, Medicaid cost reporting and HCAP/Uncompensated Care. Responsible for 340B Trial Balance, registration, and recertification.

Cost Accounting

Responsible for classifying new cost centers by analyzing whether the labor matches the revenue generated, and if not revenue whether or not the expense should directly reclassified or indirectly allocated as overhead and which overhead category is appropriate.

Develop and organize detailed work papers to support quarterly costing data. Recommend approaches for improvement activities, recommend and perform new processes, collect and measure data, develop processes based on performance and communicate results.

Data Analysis

Strong working knowledge of the state & federal cost reporting requirements in order to extract compliant data using our existing business intelligence software. Compare data to prior year to identify large variances that need further analysis, explanation, and documentation.

Compliance

Stay current with the latest CMS and State Medicaid regulations related to cost reporting, reimbursement, and payment methodologies. Understand and communicate the implication that changes to regulations will have on the institution and proactively work to support changes to comply with new regulations. Ability to model the regulatory changes to engage and educate leadership.

Collaboration

Establish working relationships with cross‑functional teams, such as IS, reimbursement/billing and hospital/clinical services to obtain data for cost reporting needs. Assist external parties (auditors, regulatory agencies) during audits including collaborating with other departments across the hospital to manage these requests. Provide reimbursement and regulatory updates to varying levels of leadership. Assist department leadership with training needs, review of work, and setting daily priorities.

Job Qualifications

• Bachelor's degree in a related field
• Preferred: Master's degree in a related field
• 7+ years of work experience in a related job discipline
• 4+ years of Medicare cost reporting experience
• MS Excel, Access, and Business Intelligence experience
• Familiar with CMS Medicare/Medicaid cost reports including various cost reporting worksheets (Worksheet C, D, G, H, I and B‑1 statistics)
• Preferred: CPA

Benefits

• Medical coverage starting day one of employment.
• Competitive retirement plans
• Tuition reimbursement for continuing education
• Expansive employee discount programs through our many community partners
• Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
• Support through Employee Resource Groups (African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group)
• Physical and mental health wellness programs
• Relocation assistance available for qualified positions

Salary: $75‑90k (Expected Starting Pay Range). Annualized pay may vary based on FTE status $67,537.60 – $86,112.00.

EEO Statement

Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability, or protected veteran status.