Director, Government Reporting and Reimbursement

2 weeks ago

Florida, United States University of Miami Full time
Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet .

The Department of UHealth Reimbursement is currently seeking a full time Director, Government Reporting and Reimbursement to work in Medley. The incumbent in this position assists the AVP of Government Reporting and Reimbursement in all areas of Medicare and Medicaid reporting, including CDM management.

CORE RESPONSIBILITIES

  • Assists with monitoring changes in Federal and State regulations regarding hospital and physician reimbursement requirements, with priority focus on billing changes impacting physician and hospital chargemasters.

  • Assists in preparing cost reports, monitoring compliance with CMS regulations, attestations, and preparing to report on all supplemental Federal and State reimbursement matters.

  • Coordinates Medicare and Medicaid audits and assists with preparation of all supporting work papers and documentation.

  • Analyzes Medicare Administrative Contractor (MAC) correspondence and interim rate setting to ensure accurate reimbursement and compliance with regulations.

  • Assist with Provider based attestations and all Federal and State reporting associated with them

  • Monitors changes in Federal and State regulations affecting the healthcare industry and assists with preparation of pro-forma analysis as it relates to third-party reimbursement.

  • Assists with preparation of the annual State of Florida, Agency for Health Care Administration Reports, including DSH, GME, and FHURS.

  • Assists with preparation and review of annual physician LIP reporting and other regulatory/contractually obligated reports.

  • Works with senior management to research, analyze, and communicate reimbursement matters.

  • Assist with strategic pricing analysis and ongoing CDM maintenance.

  • Assist with the annual budget for charge master pricing and supplemental revenues.

  • Other duties as assigned.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

Education:

Bachelor's degree in relevant field.

Certification and Licensing:

CPA certification preferred

Experience:

Minimum 5-8 years of relevant experience.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:Full timeEmployee Type:StaffPay Grade:H17

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