ECCO Select is a talent acquisition and consulting company specializing in people, process and technology solutions. We provide the talent behind the technology enabling our clients to achieve their goals. For more information about ECCO Select, visit us at www.eccoselect.com.

Position Title: Staff Accountant – Hospital Cost Reporting

Location Information  Remote

Position Responsibilities:

The Staff Accountant – Hospital Cost Reporting supports the review and analysis of financial and statistical information for hospitals and other health care providers, focusing on cost reports and reimbursement calculations. Working in a fully remote setting, you will:

• Review hospital and Medicaid provider cost reports, reconciling them with supporting financial statements and general ledger data.
• Analyze provider financial and statistical information relating to cost reports and reimbursement.
• Perform reimbursement calculations and related cost report analyses, ensuring compliance with applicable regulations.
• Prepare concise documentation and written support for professional conclusions and reimbursement decisions.
• Conduct desk reviews and, as needed, audits of hospital and health care provider cost reports in line with relevant policies.
• Perform research to determine compliance with Medicare, Medicaid, or other government billing, cost reporting, and reimbursement regulations.
• Carry out phases of audit and review work, such as planning, research, risk assessment, fieldwork, and reporting findings.
• Review and interpret federal and state policies associated with hospital cost reporting and Medicaid reimbursement prior to performing assigned tasks.
• Prepare, maintain, and update working papers in accordance with regulatory requirements, including Medicaid or government program guidelines and applicable standards (such as AICPA).
• Analyze cost allocation methods, provider reimbursement, and financial data as appropriate to each project or engagement.
• Uphold excellence in communication, data gathering, analysis, reporting, and process improvement, in a collaborative and remote work environment.
• Maintain the security and confidentiality of protected health information during analysis and documentation processes.
• Maintain thorough and organized electronic documentation and supporting workpapers.
• Collaborate with project teams, reviewers, and stakeholders to achieve engagement objectives efficiently and effectively in a remote setting.
• Perform additional responsibilities as assigned.

Essential Skills, Experience

• Demonstrated professional experience with hospital cost reporting, health care provider reimbursement, or closely related health care financial analysis.
• Knowledge of hospital reimbursement concepts, including cost allocation, cost-to-charge ratios, cost settlement, and government program billing procedures.
• Experience reviewing, preparing, auditing, or analyzing hospital cost reports and supporting documents.
• Familiarity with relevant reporting systems (such as Medicare CMS-2552 or state Medicaid methodologies) and applicable regulations.
• Ability to interpret and apply federal and state hospital cost reporting and reimbursement policies.
• Strong analytical, data analysis, and problem-solving skills.
• Exceptional verbal and written communication capabilities, particularly in analytical reporting.
• Excellent organizational skills with a high level of accuracy and attention to detail.
• Ability to multitask, plan, and prioritize assignments in a fast-paced and deadline-driven environment.
• Proficiency in Microsoft Office, particularly Microsoft Excel and its analytical functions.
• Strong skills in maintaining documentation, electronic workpapers, and audit trails.
• Ability to work independently and efficiently in a fully remote setting.
• Ability to collaborate with stakeholders, auditors, and project teams in a distributed, remote work environment.
• Willingness to travel as required by client or project needs.

Qualifications:

• Bachelor’s degree in accounting or a related field required.
• Direct professional experience in hospital cost reporting, provider reimbursement, government health care program analysis, or equivalent.
• Master’s degree in accounting or related field preferred.
• CPA license or candidacy preferred.
• Experience with hospital reimbursement data analysis, health care auditing, or related financial review activities a plus.

ECCO Select is committed to hiring and retaining a diverse workforce. Our policy is to provide equal opportunity to all people without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, citizenship status, sex, sexual orientation, gender identity or any other legally protected category. Veterans of our United States Uniformed Services are specifically encouraged to apply for ECCO Select opportunities.

Equal Employment Opportunity is The Law
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