St. Charles Health System

Compensation

Full Description

Standard salary range with minimum 3 years of experience: $$71,260 - $106,870/year. Senior salary range with minimum 5 years of experience: $83,096 - $124,675/year. Remote in Approved States with a preference for Remote Oregon. Please not apply to this role unless you currently reside in one of these states: Arkansas, Arizona, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Oregon, Tennessee, Utah, Wisconsin ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Cost Report and Government Reimbursement Analyst REPORTS TO POSITION: Controller DEPARTMENT: Accounting DATE LAST REVIEWED: March 18, 2021 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The Accounting Department is responsible for maintaining accurate and timely financial records for the System, the hospital Foundation, and several Joint Ventures. The department facilitates an annual financial statement audit. The Department prepares and submits external financial reporting including, but not limited to, tax returns and cost reports. The Department is also responsible for internal reporting to support senior leadership in the decision-making process through the appropriate presentation of financial data. Not responsible for patient billing, collecting, account management or charity care assessments. This role collaborates with the Payer Contracting and Revenue Cycle teams. POSITION OVERVIEW: The Reimbursement Analyst is responsible for the preparation, coordination and management of the reimbursement-related regulatory filings for Medicare, Medicaid and other governmental or non-governmental agencies. In addition, the position is responsible for analyzing government program revenue streams and understanding financial impacts that arise from operational and programmatic changes. This position does not directly manage other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Responsible for the coordination of the preparation, filing, settlement and audit of the St. Charles cost reports and reimbursement-related regulatory filings for Medicare, Medicaid, other governmental or nongovernmental-agencies. Prepares and/or reviews Medicare and Medicaid cost reports and other regulatory filings, and the related work papers in accordance with all applicable regulations and St. Charles polices. Manages the production of compliant State and Federal cost reporting documents, including all annual cost reports, S-10 and wage index audits. Includes management of internal resources and external cost report experts. Prepares and analyzes proposed audit adjustment impacts and submits additional documentation as required by the MAC or regulatory agency. Reviews monthly workbooks and resultant journal entries to record third party settlements, and provider taxes payable and supplemental payments receivable. Assists the Accounting team in validating that workbooks stay current with regulatory changes. Continuously monitors workload and methodologies used to achieve results, making recommendations to improve efficiency and/or cost savings whenever possible. Ensures that all assigned statutory filings are timely and accurate. Oversees the timely preparation, analysis, interpretation and distribution of government payer performance reports to divisional and financial leadership. Analyzes the reimbursement impact of proposed new programs, payment models, services, and operating strategies. Provides reports and recommendations for achieving proposed financial objectives. Accesses rate schedules, product details and historical claims to build and deploy model scenarios. Leverages multiple data points to provide visibility into all key model components. Provides expertise to reimbursement strategies including review of methodology options and coordination of appeal opportunities in collaboration with Revenue Cycle leadership. Supports the vision, mission and values of the organization in all respects. Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: Bachelors degree in accounting or finance. Preferred: N/A LICENSURE/CERTIFICATION/REGISTRATION Required: N/A Preferred: Certified Public Accountant. Certified Healthcare Financial Professional. EXPERIENCE Required: Three (3) years of demonstrated experience in the healthcare finance or related field, including regulatory reporting. Preferred: Previous work experience in consulting, in a multi-hospital system, health insurer, or MAC. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Senior Cost Report and Government Reimbursement Analyst REPORTS TO POSITION: Controller DEPARTMENT: Accounting DATE LAST REVIEWED: March 2024 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The Accounting Department is responsible for maintaining accurate and timely financial records for the System, the hospital Foundation, and several Joint Ventures. The department facilitates an annual financial statement audit. The Department prepares and submits external financial reporting including, but not limited to, tax returns and cost reports. The Department is also responsible for internal reporting to support senior leadership in the decision-making process through the appropriate presentation of financial data. Not responsible for patient billing, collecting, account management or charity care assessments. This role collaborates with the Payer Contracting and Revenue Cycle teams. POSITION OVERVIEW: The Senior Cost Report and Government Reimbursement Analyst is responsible for the preparation, coordination, and management of the reimbursement-related regulatory filings for Medicare, Medicaid and other governmental or nongovernmental agencies. In addition, the position is responsible for analyzing government program revenue streams and understanding financial impacts that arise from operational and programmatic changes. The Senior Reimbursement Analyst supports the forecasting process by developing reimbursement analysis, including impact for modifications to the System’s charge master, contract model changes, government program changes and other impacts on future reimbursement. This position does not directly manage other caregivers, however may be asked to review and provide feedback on the work of other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Responsible for the coordination of the preparation, filing, settlement and audit of the St. Charles cost reports and reimbursement-related regulatory filings for Medicare, Medicaid, other governmental or nongovernmental-agencies. Prepares and/or reviews Medicare and Medicaid cost reports and other regulatory filings, and the related work papers in accordance with all applicable regulations and St. Charles polices. Manages the production of compliant State and Federal cost reporting documents, including all annual cost reports, S-10 and wage index audits. Includes management of internal resources and external cost report experts. Analyzes the reimbursement impact of proposed new programs, payment models, services, and operating strategies. Provides reports and recommendations for achieving proposed financial objectives. Prepares and analyzes proposed audit adjustment impacts and submits additional documentation as required by the MAC or regulatory agency. Reviews monthly workbooks and resultant journal entries to record third party settlements, and provider taxes payable and supplemental payments receivable. Assists the Accounting team in validating that workbooks stay current with regulatory changes. Continuously monitors workload and methodologies used to achieve results, making recommendations to improve efficiency and/or cost savings whenever possible. Ensures that all assigned statutory filings are timely and accurate. Oversees the timely preparation, analysis, interpretation, and distribution of government payer performance reports to divisional and financial leadership. Manages the day-to-day analysis of government reimbursement models, utilizing Strata’s contract management and cost accounting systems, to evaluate the impact of proposed government (federal and state) reimbursement initiatives, contracts, amendments, payment disputes, and changes in regulation or provider manuals. Analyzes the reimbursement impact of proposed new programs, payment models, services, and operating strategies. Provides reports and recommendations for achieving proposed financial objectives. Accesses rate schedules, product details and historical claims to build and deploy model scenarios. Leverages multiple data points to provide visibility into all key model components. Provides expertise to reimbursement strategies including review of methodology options and coordination of appeal opportunities in collaboration with Revenue Cycle leadership. Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: Bachelor’s degree in accounting or finance. Preferred: N/A LICENSURE/CERTIFICATION/REGISTRATION: Required: N/A Preferred: Certified Public Accountant. Certified Healthcare Financial Professional. EXPERIENCE: Required: Five (5) years of demonstrated experience in the healthcare finance or related field, including regulatory reporting. Preferred: Previous work experience in consulting, in a multi-hospital system, health insurer, or MAC. PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing, or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing, or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/stepstool, lifting/carrying/pushing, or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? Yes Job Family: ANALYST FINANCE Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 8:00 - 5:00 St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine. For additional information, such as Career FAQ's, benefits, and why your dream job awaits, please visit our Careers site. With a variety of nursing positions available, you can choose a career path that fits both your interests AND your lifestyle. Please click on the link for additional help on navigating the candidate site and features of the candidate home page. Candidate Home User Guide