Contract Modeling Analyst

Contract Modeling Analyst The posted compensation range of $34.00 - $50.58 per hour is an estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. Job Summary / Job Purpose Responsible for building and testing the contract modeling calculation that applies the contractual adjustment at time of billing and produces the Expected Payment within the AR/Revenue Cycle system (Meditech, PCON, Epic, PIC). This position directly impacts CHI's financial statements as these calculations are relied upon to estimate Net AR (on CHI's balance sheet) and is a focus of the financial audit. Key Responsibilities Reimbursement Calculation/Contract build/modeling (Business critical maintenance) Input and maintenance of Payor contracts to calculate net expected reimbursement and applies the contractual adjustment at the time of billing. For Meditech and/or PCON, Epic, PIC Ensures accurate and timely maintenance of reimbursement calculation in system dictionaries and tables, based on collaboration with Payor Strategy and RRC management. Interprets managed care contracts and government reimbursement methodologies in order to correctly create the contract modeling calculation. Ensure thorough testing of all new and existing entries into the Contract Modeling/Revenue Cycle system to confirm accurate calculations for netting down AR at time of billing. Assists or works directly with other business partners as it relates to managed care contracts and government reimbursement changes that impact expected payment Job Requirements / Qualifications Education / Accreditation / Licensure (required & preferred): Bachelor's Degree preferred. Experience (required & preferred): Three to five years of related Revenue Cycle application experience in contract modeling and/or experience in Patient Financial Services or Finance preferred. Must have extensive experience and knowledge with healthcare reimbursement methodologies and concepts. Preferred - Hospital Billing Expected Reimbursement Contracts certification #J-18808-Ljbffr Common Spirit Health