Essential Functions

• Maintain up-to-date knowledge of Medicare / Medicaid rules and regulations
• Working alongside staff in general accounting, assist with new reporting and modeling tools, budget preparation and reimbursement analysis for new product lines
• coordinates the reimbursement section's input into the annual financial audit performed by the health
• care facility's outside audit firm
• Liaison with OHA on Reimbursement matters
• Resource to Government Relations for review of proposed regs impacting UH.
• Resource relating to appeals, prior year issues, current year reports needed for the cost report and general historical information
• Under limited supervision, preforms Calculation of Net Revenue Reimbursement for the UH Health System, including allocations. Maintains cost accounting methodologies (RVU, RCC, Variable Charge, ABC), including overhead allocations and statistical drivers.
• Monitors and recommends enhancements to data extracts from source systems. Ensures integrity and validity of data is intact.
• Works closely with IT on system upgrades and testing (beta development, functionality testing, and movement into production environment).
• Develops reporting solutions and analyses for management and senior leadership. Works with Finance and Administrative Leadership to build custom reporting solutions including monthly/weekly/daily reporting, in a repeatable fashion.
• Special projects as assigned (e.g. Product Line Reporting, Profitability Reporting, Physician Based Reporting, business planning data requests, system enhancements). Ad-hoc reporting requests with varying time sensitivity and criticality.