Medicare / Medicaid Cost Report Analyst Healthcare

Job Description

Job Description

Medicare / Medicaid Cost Report Analyst

Decision Support, Strategy & Value Improvement Team Overview:
The Decision Support team is an essential asset to any health system, providing Cost Accounting, benchmarking, and analytical services to inform sound business decisions across the institution. The team is comprised of 25 FTEs and supported by a fully dedicated IT group. The Decision Support team partners directly with clinical, operational, and cross-functional teams across the enterprise to inform and assist in the achievement of institutional goals.

Position Summary
Under the guidance of the Assistant Director of Decision Support, the Sr. Financial Analyst will be responsible for producing financial reports and analyses that assist in the monitoring of the hospital’s financial performance. This role will be responsible for monthly and quarterly reporting (deadline driven), projects and ad hoc reporting as assigned using the EPSi decision support/cost accounting system, Tableau, Tableau Prep, Data Bricks, Alteryx, Excel (pivot tables, vlookups, advanced formulas), SQL and other software as appropriate.

Job Responsibilities:

Cost Report & Regulatory Submissions

• Assist in the preparation and filing of the NYS Institutional Cost Report (NYSICR) and Medicare 2552 cost report submissions.
• Prepare exhibits and schedules related to expenses, operating revenues, reclassifications, recoveries, and statistical allocations.
• Prepare and submit monthly NYS DOH pool submissions accurately and on a timely basis.
• Assist in the completion of routine and special regulatory reports and surveys.
• Assist in submitting Medicare and Medicaid provider enrollment applications and supporting documentation in compliance with CMS regulations, state Medicaid agency requirements, and applicable local guidelines.

Financial Analysis & Revenue Accrual

• Facilitate the analysis of third-party rate accounts and payer contracts.
• Assist in the calculation of monthly Medicare revenue accruals by updating PS&R and patient statistical data.
• Reconcile and summarize cash receipt amounts detailed on Treasury department reports.
• Support the gathering and compilation of quarterly physician time studies.

Audit & Compliance Support

• Participate in both internal and external audits by providing supporting documentation in a timely manner.
• Maintain trustworthiness and integrity; respect and uphold the confidentiality of all financial and patient information.
• Package and summarize analytical findings with clear understanding of results and thoughtful recommendations

Analytical Excellence & Operational Initiative

• Independently develop analytical frameworks for large, complex data sets and exercise discretion and judgement in analytical approach
• Proactively communicate to management any arising issues or barriers to meet timelines/deliverables
• Identify opportunities for continuous improvement (e.g. improving data integrity, process flow); act independently on resolving / improving
• Demonstrate initiative for taking on new tasks or responsibilities. Exhibits creative thinking by suggesting alternative and innovative solutions to problems encountered

Minimum Qualifications:

• Bachelor’s degree in Accounting, Finance, Business Administration, Mathematics, or Management Information Systems
• A minimum of three to five (3-5) years of experience in not-for-profit, healthcare or accounting
• Action-oriented, with experience managing aggressive deadlines and strength across a broad range of technical skills
• Strong foundation in financial analysis and/or accounting
• Must have a general understanding of the healthcare industry
• Proficient in Microsoft Office Excel and/or Access

Preferred Qualifications:

· Master’s degree or CPA with experience in hospital reimbursement and cost report preparation

• High-level of proficiency in Tableau, Excel, Access, and Decision Support reporting programs
• Experience working with a decision support/cost accounting system
• Extensive experience in data transformation/manipulation
• Basic understanding of database relationships and structures
• Experience in Business Intelligence/visualization tools (i.e. Tableau, Power BI)

Minimum Experience:

· 3 years

Hybrid role

\nCompany Description

We provide full-service Healthcare Recruitment solutions. We identify, attract, engage, and connect the best possible talent with quality healthcare professionals. We build teams, provide executive recruitment solutions and discover high-performance candidates on behalf of our client partners. Our strength lies in our proven recruitment strategies, leadership in the larger healthcare community (regional and national), and networking.

Company Description

We provide full-service Healthcare Recruitment solutions. We identify, attract, engage, and connect the best possible talent with quality healthcare professionals. We build teams, provide executive recruitment solutions and discover high-performance candidates on behalf of our client partners. Our strength lies in our proven recruitment strategies, leadership in the larger healthcare community (regional and national), and networking.