• 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.