Experience the advantages of real career change
Join Piedmont to move your career in the right direction. Stay for the diverse teams you’ll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You’ll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.
Responsibilities:Organizing, coordinating, and performing the reimbursement function for Piedmont Healthcare and system entities, including the preparation of entity Medicare/Medicaid/ Tricare cost reports, surveys, audits, appeals, budget and planning in an effort to assist management in operational and compliance decisions. This position reports to the Piedmont Healthcare Government Reimbursement Executive Director.
KEY RESPONSIBILITIES:
1. Prepares and files Piedmont Healthcare Medicare/Medicaid/Tricare Cost Reports by applicable federal and state deadlines.
2. Prepares and maintains all schedules and analysis supporting cost report preparation.
3. Coordinates Medicare and Medicaid audits and prepares all supporting work papers and documentation.
4. Analyzes Medicare Administrative Contractor (MAC) correspondence and interim rate setting to ensure accurate reimbursement and compliance with regulations.
5. Works with senior management to research, analyze, and communicate reimbursement issues.
6. Prepares pro-formas with regard to third party reimbursement.
7. Monitors regulatory changes for compliance and also seeks ways to optimize reimbursement.
8. Assists Piedmont Healthcare and system entities with reimbursement percentages for use in calculating contractual reserves. Provides the Government Reimbursement Executive Director with research and ad hoc reporting, as directed.
9. Provides documentation for use in calculating monthly reserve requirements for Piedmont Healthcare and system entities.
10. Prepares and assists Piedmont Healthcare and system entities with Medicare, Medicaid, and state surveys.
11. Reviews and analyzes Medicare and Medicaid Remittance Advices to ensure proper payments.
12. Ensures all third- party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and account.
13. Reviews cost report settlements for accuracy and compliance with regulations.
14. Review cost report settlements and assists with appeal filings, where applicable.
15. Coordinates cost report reopening reviews and prepares all supporting documentation.
16. Assists with graduate medical education reporting for Piedmont teaching facilities.
17. Assists with the completion and timely submission of the Interns and Residents Information System (IRIS) software program to Medicare.
18. Prepares the Allied Health reporting and reimbursement for cost report filing.
19. Prepares the Wage Index and Occupational Mix Survey filings and reviews.
Qualifications:Education
Work Experience
Licenses and Certifications
...and update study documentation on projects Participate as part of a team on various projects Qualifications Bachelor's degree in a Life Science or related field with strong attention to detail, excellent communication skills, ability to prioritize and multitask...
...Newark, is a leading provider of mental health and addiction services in Northern New Jersey. We are currently seeking a Per Diem Registered Nurse (RN) for our Outpatient and Partial Care departments in Jersey City and Union City, NJ. (Per Diem Employees will...
...This is a flexible opportunity ideal for someone who wants to work from home, stay organized, and handle simple administrative tasks in a supportive... ...process. What Youll Do Enter and update information into online systems and spreadsheets Review data for accuracy and...
Lead the effective execution of all plant maintenance and assigned projects, in support of safety, quality and continuous improvement... ...Desired Bachelors degree in mechanical, electrical or chemical engineering Experience in continuous improvement activities...
...Information About the Role BJC Home Care is looking for you! The home health registered nurse provides 1:1 patient care supporting an under-... ...*BJC Career Ladder Progression available: The BJC RN Career Ladder differentiates BJC as the place for nurses to work...