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Mgr/Reimbursement

Company: Atrium Health
Location: Charlotte
Posted on: October 13, 2019

Job Description:

Job Req ID: 229441Position Number: 00073040Employment Type: Full TimeShift: DayShift Details: 1st, M-FStandard Hours:?40.00Department Name: Accounting - ReimbursementLocation: CHS Corporate OperationsLocation Details:? APCCarolinas HealthCare System is Atrium Health. Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit carolinashealthcare.org/AtriumHealth??Job SummaryOversees the preparation of financial and statistical reports for outside agencies with a view of properly attaining all available reimbursement, complying with government regulations, assisting in third-party audits and checking the accuracy of all data used by third-party payors for reimbursement.Essential Functions----

  • Analyzes financial and statistical data used in the reimbursement reports to determine accuracy, consistency from year to year, compliance with government regulations and effect on the institution's reimbursement.
  • Participates in and suggests areas where formal appeals to third-party and governmental agencies are warranted.
  • Provides oversight to--all reimbursement analysts and reimbursement associates.
  • Assists in the preparation of special cost study analyses and in the accumulation of certain statistical data.
  • Informs leadership and regional facility controllers on reimbursement issues.
  • Reviews proposed adjustments by third party auditors for compliance with the regulations and accuracy of the proposed adjustments. Provides responses to inquiries made by third party auditors.Physical RequirementsWork requires lifting and moving reports and notebooks weighing up to 10 pounds. Must be able to work under pressure to meet deadlines. Must have the ability to move freely among departments located in various buildings on and off the main hospital campus, as well as other facilities. Majority of the day is spent sitting down.Education, Experience and CertificationsBachelors Degree in Accounting, Finance or related area is required. A good knowledge of Medicare and Medicaid reimbursement rules and regulations required and--5 years experience required.------?At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations.?As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve.?Posting Notes: Not ApplicableCarolinas HealthCare System is an EOE/AA Employer

    Company Description:

    Carolinas HealthCare System, one of the nation---s leading and most innovative healthcare organizations provides a full spectrum of healthcare and wellness programs throughout North and South Carolina. Its diverse network of facilities includes academic medical centers, approximately 38 hospitals, freestanding emergency department, more than 700 physician practices, behavioral health center, surgical and rehabilitation centers, home health agencies, hospice and palliative care services, and nursing homes.For nearly 70 years, our system of exceptional facilities has been providing care that improves our community and the lives of our patients and employees.At Carolinas HealthCare System, we are One team, delivering care through more than 11 million patient encounters. Our teammates share millions of reasons to be proud of their work and the contributions they make every day.--We invite you to learn more about Carolinas HealthCare System, and discover all the possibilities ONE system has to offer.

Keywords: Atrium Health, Charlotte , Mgr/Reimbursement, Accounting, Auditing , Charlotte, North Carolina

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