Manager of Cost Report Reimbursement- Full Time Days
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About the role
Responsible for managing all third-party activities related to Medicare, Medicaid, and Tricare for Cape Fear Valley Health System (CFVHS) facilities. Major Job Functions The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time: Responsible for managing the legislative and regulatory requirements of the Medicare, Medicaid, and Tricare programs Manages the health system's reimbursement from Medicare, Medicaid, and Tricare programs Coordinates and assists in the timely and accurate completion of the Medicare, Medicaid, and Tricare cost reports including managing the procurement of requisite information such as program logs, financial and statistical data, physician and other required time studies and other related reports Coordinates any health system audits, reviews, certifications and informational requests conducted by the Medicare and/or Medicaid agencies or independent auditors Challenges adverse adjustments resulting from third-party audits Reviews changes in governmental regulations that impact the health system's reimbursement Monitors and controls the various third-party related activities and invoices of consultants/contractors Other duties as assigned