Christopher Julius Email & Phone Number

Thornton, CO, US

The Supervisor Provider Audit is responsible for leading and development of provider audit and reimbursement employees to ensure the team is administering the organization's contract with the best possible service while maintaining contract expectations and performance metrics within the budget and time constraints.

Greater Denver Area

• Preparation of System and hospital Medicare/Medicaid Cost Reports, ensuring the accurate reporting of financial and statistical data. Review actual reimbursement by governmental payors to ensure timeliness and.
• Ensure timely and accurate completion of the Medicare/Medicaid Cost Report. Plan, prepare and oversee the succeeding third party cost report audit.
• Compiling and submitting requested data for the state UCR (Uniform Cost Report), and data required for other state payments. Responding to requests from the State and their auditors related to the data submitted, and.
• Maintaining third party reserves including analyzing cost, computing reimbursement, comparing actual and estimated amounts and the impact of any audit adjustments for hospital finance. Identify Tentative and Final.
• Maintaining timely awareness, knowledge, and understanding of the impact of operation and regulatory changes on the Medicare/Medicaid Cost Report.

Chicago, IL

Conducts Audits and Desk Reviews to ensure Heathcare Providers are reporting accordingly to CMS Guidlines and Regulations.Background in Medicare Cost Reporting including:-Bad Debts-DSH-DGME-Nursing Allied and Health-Hospital Based Physician-Wage Index-EHR Payments-PS&R Payments-Interim Payments -Tentative Settlement