VP Reimbursement and Cost Reporting

3 weeks ago


Shawnee, United States Cohesive Healthcare Management Full time
Job DescriptionJob DescriptionDescription:

Position Summary:

The VP of Reimbursement and Cost Reporting will drive the completion of Medicare Cost Reports and other government financial filings, as well as support audits and act as a subject matter expert on government reimbursement policy and reporting. They ensure our company and hospital systems are well informed on how changes within its business operations or that are regulatory or legislative driven will impact the Medicare Cost Report. This will require maintaining a high degree of knowledge on cost reporting instructions, data inputs, and changes to Medicare and Medicaid regulations. The VP will be the day-to-day lead on many reimbursement team activities and will be responsible for proactively completing projects on the annual cost reporting and promptly responding to requests from external auditors and internal leadership.


Responsibilities:

Serve as the point person for planning, collecting, analyzing, and trending hospital Medicare Cost Report data. This will include using databases querying logic to pull data sets from financial systems.

Complete the Medicare Cost Report, including working with accounting and internal leadership to properly map internal financials to appropriate cost report lines, preparing the data using pivot tables or other Excel tools, entering the cost reporting data into the relevant software, and submitting the cost report to CMS.

  • Complete other government financial filings required by Medicare and Medicaid programs.
  • Liaise with external vendors supporting the cost reporting and reimbursement functions.
  • Manage correspondence with Medicare and Medicaid entities and contractors on issues related to cost reports, audits, surveys, etc.
  • Assist with reimbursement audits, desk reviews, rate updates, surveys, and other similar requests conducted by Medicare or Medicaid (or any assigned third party) and determine the impact of any audit adjustments to management.
  • Collaborate with Managed Care team to review Medicare factors on a quarterly basis to ensure system expected payment calculator is programmed with correct Medicare factors.
  • Collaborate with Accounting to review and revise reserve accounts tied to cost reporting and other reimbursement function activities as well as to understand the relationship between the cost report and other internal and external financial and tax reporting.
  • Maintain current knowledge of regulatory and legislative changes and their influence on reimbursement.
  • Support the creation and delivery of presentations to finance and executive leadership on reimbursement and cost reporting topics upon request.
  • Develop and manage team members, including education and training, professional development, and performance reviews. Delegate projects and oversee completion and reporting on results.
  • Additional support to Finance Division management upon request.



Requirements:

Education / Experience:

  • B.S. Degree in Accounting, Business, Healthcare Administration, or another related field.
  • Minimum of five (5) years relevant experience in the healthcare industry with at least three (3) years in a directly related leadership role.
  • Experience in Cost Report preparation and review.
  • Knowledge and understanding of government payor reimbursement.
  • Excellent communication and interpersonal skills.
  • Must demonstrate strong analytical skills and attention to detail.
  • Intermediate skill level with Excel
  • Ability to work independently and as part of a team.
  • Time management skills and the ability to prioritize tasks effectively.




  • Shawnee, United States Midwest Health Full time

    The Business Office Managers primary duty is to assist the Executive Director in the day-to-day accounting functions of the Community in accordance with current acceptable accounting, cost reimbursement principles, payroll and other administrative ta Office Manager, Business, Manager, 2nd Shift, Workers Compensation, Office, Healthcare, Business Services

  • Corporate Controller

    2 weeks ago


    Shawnee, United States Cohesive Healthcare Management Full time

    Job DescriptionJob DescriptionDescription:POSITION SUMMARYResponsible for guiding financial decisions by establishing, monitoring, and enforcing policies and procedures. Protects assets by establishing, monitoring, and enforcing internal controls. Monitors and confirms financial condition by conducting audits; providing information to external...


  • Shawnee, United States Ascension Full time

    Ascension has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. We strive to expand access to high-quality, low-cost, person-centered care and services for all. At Villa St. Joseph, caregivers can find both a jumpstart to their careers and clinical education opportunities. If you are looking for a rewarding...

  • ALC Paraprofessional

    4 weeks ago


    Shawnee, United States Shawnee Mission School District Full time

    Position Type: Paraprofessionals/ParaprofessionalDate Posted: 4/22/2024Location: WestridgeAdditional Information: Show/Hide** 48 College Credit hours or degree is required** If you do NOT have 48 college credit hours, you may sign yourself up for the Para Pro Assessment Exam. A passed exam will excuse you from the college credit requirement. The District...


  • Shawnee, United States Homestead of Shawnee Full time

    Job Summary The Business Office Manager's primary duty is to assist the Executive Director in the day-to-day accounting functions of the Community in accordance with current acceptable accounting, cost reimbursement principles, payroll and other administrative tasks related to the long-term care operation. Duties and Responsibilities:Comply with the...


  • Shawnee, United States Seaboard Foods Full time

    Vice President of Sales & Marketing #PKX-10861 {{jcity}}{{jstate}} Job Description YOUR OPPORTUNITY We have an exciting Vice President of Sales & Marketing opportunity in our Merriam, Kansas office. The VP of Sales and Marketing position will hold the overall responsibility for designing, developing, and delivering the sales strategy globally for Seaboard...

  • Gastroenterology

    3 days ago


    Shawnee, United States MCM & Associates LLC Full time

    Job DescriptionJob DescriptionProvidence Medical Group is looking to hire for a Gastroenterologist to join their GI Team.If interested, please email your CV to marnie@mcmassociates.usPosition DetailsWell established practice.Bread and Butter GI8am-5pm (Mon-Fri)Call 1:4 BC or BE / MD or DOprivate practice setting with hospital employed securityERCP/EUS not...

  • Budget Analyst

    2 days ago


    Shawnee, United States State of Kansas Full time

    Employment Benefits : First day of employment coverage under the State Employee Health Plan (SEHP) for medical and prescription drug coverage and dental plan. Additional voluntary options including vision, hospital indemnity, accident and critical illness insurance plans and flexible spending accounts. SEHP members and their covered family members...

  • Accounting Manager

    3 days ago


    Shawnee, United States Jindal Films Americas Full time

    Jindal Films is an expert in the development and manufacture of specialty films for flexible packaging and labeling markets. Our products help solve packaging and labeling problems, improve total costs and support dazzling package designs. POSITION SUMMARY: ACCOUNTING MANAGER (In-Office, M-F) Primary Accounting business contact for Jindal Films Americas,...

  • Accounting Manager

    3 weeks ago


    Shawnee, United States Jindal Films Americas Full time

    Job DescriptionJob DescriptionJindal Films is an expert in the development and manufacture of specialty films for flexible packaging and labeling markets. Our products help solve packaging and labeling problems, improve total costs and support dazzling package designs. POSITION SUMMARY: ACCOUNTING MANAGER (In-Office, M-F)Primary Accounting business contact...


  • Shawnee, United States GF Piping Systems Full time

    Summary: Primary responsibility is to foster a Continuous Improvement Environment, concentrating on 5S workplace organization, mistake proofing, set-up time reduction, total productive maintenance, problem-solving, and other lean and Six Sigma tools. You will perform data analysis, define priorities, and manage projects using tools such as Impact VS. Effort,...

  • Director of Nursing

    2 days ago


    Shawnee, United States Career Strategies Full time

    Position Title: Director of Nursing (DON) Job Summary: The Director of Nursing (DON) is responsible for the overall management and coordination of nursing services in a skilled nursing facility. The DON oversees the nursing staff, ensures the delivery of high-quality resident care, and maintains compliance with regulatory standards and best practices....


  • Shawnee, United States CareerBuilder Full time

    Current job opportunities are posted here as they become available. Summary : Primary responsibility is to foster a Continuous Improvement Environment, concentrating on 5S workplace organization, mistake proofing, set-up time reduction, total productive maintenance, problem-solving, and other lean and Six Sigma tools. You will perform data analysis, define...


  • Shawnee, United States GF Piping Systems Full time

    Summary: Primary responsibility is to foster a Continuous Improvement Environment, concentrating on 5S workplace organization, mistake proofing, set-up time reduction, total productive maintenance, problem-solving, and other lean and Six Sigma tools. You will perform data analysis, define priorities, and manage projects using tools such as Impact VS. Effort,...


  • Shawnee, United States Jindal Films Americas Full time

    Jindal Films is an expert in the development and manufacture of specialty films for flexible packaging and labeling markets. Our products help solve packaging and labeling problems, improve total costs and support dazzling package designs. Within Flexible Packaging, Jindal Films provides films that lead the market in terms of barrier to moisture, oxygen, and...


  • Shawnee, United States State of Kansas Full time

    Employment Benefits Comprehensive medical, mental, dental, vision, and additional coverage Sick & Vacation leave Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave Paid State Holidays (designated by the Governor annually) Fitness Centers in select locations Employee discounts with the Retirement...


  • Shawnee, United States Jindal Films Americas Full time

    Job DescriptionJob DescriptionJindal Films is an expert in the development and manufacture of specialty films for flexible packaging and labeling markets. Our products help solve packaging and labeling problems, improve total costs and support dazzling package designs. Within Flexible Packaging, Jindal Films provides films that lead the market in terms of...


  • Shawnee, United States Indian Health Service Full time

    Locations: Lawton, OK | OK City, Oklahoma | Okmulgee, OK | Pawnee, OK | Shawnee, OK Type:Federal Salary Range:Per Year Open Period:11/9/2023 to 6/28/2024 To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid...

  • RN PreOp PACU

    1 week ago


    Shawnee, United States Surgery Care Affiliates Full time

    Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...

  • RN PreOp PACU

    2 weeks ago


    Shawnee, United States SCA Health Full time

    Overview:Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...