Prepared Medicare/Medicaid Cost Reports. Performed comparative analyses to ensure cost report is materially compliant.Performed interim rate reviews and conducted wage index reviews.

Performed tasks related to preparation of the Medicare/Medicaid Cost Report. Performed comparative analyses to ensure cost report is materially compliant.Prepared requests for Champus reimbursement and prepared intergovernmental transfer requests (IGTs) for payments to state Medicaid government entity for various waiver related grants.

Direct contact with client and internal sales team to determine audit process requirements based on contractual agreement;Established implementation schedule, communicated timeline to internal and external stakeholders, and monitored progress of timeline. Notified upper management and other internal and external stakeholders of delays in project component completion;Developed Audit Process Flows, including related flow charts, letters, files, and client-specific reporting templates;Worked with internal and external IT staff to ensure claims data submitted were processed within acceptable timeframe;Worked with programmers to ensure proper programming of audit process flow, letters, file layouts, and reports; andEnsured the implemented audit process flow worked properly during the production phase of the implementation process

Supervised audits of Medicaid providers in accordance with contractual obligations with the Centers for Medicare and Medicaid Services (CMS). Prepared draft and final audit reports. Discussed findings with CMS, Medicaid providers, and upper management.

Performed tasks related to preparation of Medicare/Medicaid Cost Reports to ensure proper reimbursement of costs incurred by several hospitals. Performed bad debt reviews to determine potential amount of risk exposure and performed analyses of fixed asset accounting for reimbursement purposes.

Prepared Medicare/Medicaid cost reports to ensure proper reimbursement of costs incurred by several hospitals. Reviewed hospitals' monthly contractual adjustment computations for accuracy and compliance with policies.Interfaced with hospital CFOs to assure compliance with data maintenance requirements for cost reporting and to keep abreast of operational changes affecting cost reimbursement and served as a subject matter expert. Interfaced with fiscal intermediary auditors with data and support used to prepare cost reports and answered any questions regarding the cost reports.Critically reviewed proposed adjustments to cost reports and decided, along with management, which adjustments should be appealed andCommunicated issues to both the reporting and division managers.

Led audits of hospitals in Texas, Oklahoma, Louisiana, and Arkansas for compliance with Medicare regulations

Performed field audits of retail, manufacturing, and wholesale companies for compliance with the State of Texas Sales and Franchise Tax regulations