Collects, analyzes all underlying data and prepares supporting documentation for: • the Medicare cost report Worksheet S-10 • Reviews outside consultant logs and schedules • Reviews audit adjustments for accuracy • the Medicare cost report Medicaid DSH eligibility • Prepares additional provider research files and reviews outside consultant logs • the Medicare cost reports Traditional Medicare Bad Debt and Dual Eligible logs • the Medicare cost report Wage Index • Reviews audit adjustments for accuracy • Prepares the calculation of accounts receivable and third-party reserves including the timely submission of the monthly journal entry along with additional analyses as needed • Collects and analyzes all underlying data and prepares the Medicaid pending conversion calculations • Prepares 340 B trial balances for inclusion with the annual HRSA submissions • Prepares Medicare gain/loss analysis for Schedule H of Form 990 • Assists in the annual net revenue budget and three-year forecasting process • Research and completion of all governmental modeling is the primary focus • Assists with the preparation of E&Y audit workpapers • Reviews CMS/MAC rate reviews and audit adjustments for accuracy • Prepares amended Medicare and Medicaid cost reports and Tricare capital and direct medical education reports and supporting schedules as needed • Reviews tentative cost report settlements and final cost report settlements including audit adjustments for accuracy • Prepares Medicare and Medicaid reimbursement factors and reimbursement calculators for Inpatient, Outpatient, Psych, and Rehab • Collects and analyzes all underlying data in conjunction with the Rehab Unit and prepares the submission for the Inpatient Rehab Unit 75% compliance report for exemption from the Inpatient Prospective Payment System • Collects and analyzes all underlying data, prepares all supporting documentation, and submits in a timely and accurate manner the Medicare occupational mix surveys • Reviews audit adjustments for accuracy • Prepares HCAP logs and obtains supporting documentation for independent consultant review • Also, prepares the matching data in the formats used for the Medicaid cost report • Prepares Myers & Stauffer logs for the federal DSH audits that match the Medicaid cost report in the required format in a timely and accurate manner • Submits documentation for the Kentucky Workers' Compensation Hospital Fee Schedule cost-to-charge ratio calculation • Collects all underlying data, prepares detail and summary invoices, and payment reconciliations for the Montgomery County Indigent Ill Levy submissions • Acts as a liaison between Reimbursement and the report writing team to assist in regulatory data revisions • Prepares detailed analysis of regulatory changes to determine the reimbursement impact to PHP • Ensures compliance with Federal and State laws when using PHP provider numbers, including Provider Based Status rules • Maintains current working knowledge of Medicare, Medicaid, and other regulations • Assists in providing education with Federal rules and regulations. Minimum Level of Experience Required: § 3-5 years of job-related experience required § Hospital reimbursement required, including Medicare and Medicaid cost report experience required § Current working knowledge of the financial statement process, running ad-hoc patient financial system and/or general ledger financial reports, and strong financial skills required.