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Centers for Medicare & Medicaid Services

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Accountant

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Description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Offices of Hearings and Inquiries, Provider Reimbursement Review Board (PRRB). As a Accountant, GS-0510-14, you will serve as a team member, leader, or special advisor for/with other accountants, attorneys and the PRRB Board Members and Hearing officers on a variety of accounting, reimbursement, audit, and payment systems of Medicare Contractors.

Advises on cost reporting, auditing, and accounting issues related to the Medicare Part A cost report.

Trains new staff and Board Members on the cost report process; consult senior level management and OGC on auditing payment issues.

Provide technical support to parties of appeals (Medicare Contractors, Appeals Support Contractor, and Providers, Plans, etc.) regarding the Provider Reimbursement Review Board (PRRB) appeals process.

Advise Provider Reimbursement Review Board (PRRB) or Hearing Officer on complex accounting and legal issues.

Prepares comprehensive written draft decisions that set forth the essential facts of the appeal, the payment issue(s) in dispute, significant contentions of the parties, the evidence and relevant law.

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