What are the responsibilities and job description for the Reimbursement Analyst, Cost Reporting position at Ardent Health?
Overview
Ardent Health Services (AHS) is a national health care services company headquartered in Nashville, TN. Through its subsidiaries, Ardent owns and operates nearly 200 sites of care. Our subsidiaries own and operate hospitals and multispecialty physician practices in six states. Ardent includes 30 hospitals, 4,423 patient beds, 23,000 employees, and 1,700 employed physicians. Within the industry, we are noted for recognizing that every hospital is as unique as the community it serves. This in-depth understanding of how health care works at the local level is one of our great strengths.
POSITION SUMMARY
The Reimbursement Analyst, Cost Reporting assists in obtaining proper Medicare, Medicaid and other third-party cost based reimbursements for assigned hospitals and ensures hospital compliance with Ardent's standard third-party accounting system.
Responsibilities
- Assists with preparation of annual Medicare, Medicaid and other third-party cost reports in compliance with rules and regulations of the respective third-party program.
- Assists with defense of filed cost report, as appropriate, during the annual cost report audit.
- Compiles data for state Medicaid filings related to Disproportionate Share (DSH) reimbursement.
- Maintains appropriate level of expertise in the area of Medicare and Medicaid reimbursement.
- Monitor's regulatory changes in such programs and assists in maintaining Ardent's compliance with the rules and regulations of such programs.
- Protects appeal rights for cost report audit adjustment(s) by ensuring compliance with required administrative appeal procedures and provides support during the appeal process.
- Provides support to assigned hospitals for calculation of monthly contractual adjustments. Reviews such calculations for accuracy and propriety.
- Monitors interim Medicare payments to assigned hospitals to ensure that such payments reflect estimated cost-based reimbursement for the respective accounting period.
- Monitors local hospital compliance with Ardent's standard third-party accounting system.
- Assists with responses to external auditors in their conduct of interim and annual financial audit activities.
- Assists in preparing annual hospital operations budget for contractual adjustments.
- Provides decision support to operations management to evaluate hospital operations to achieve optimum financial results as requested.
- Develops and maintains good working relationships with Intermediaries / governmental agencies.
- Develops and maintains good working relationships with Ardent Corporate, Group, and local hospital personnel.
Qualifications
Education & Experience :
Knowledge, Skills & Abilities :
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