Hospital Contract Analyst

Job Summary

A company is looking for a Hospital Contract Definition Analyst, Healthcare (Remote).

Key Responsibilities

• Analyze, define, and maintain hospital payer contracts using reimbursement methodologies
• Research payer websites and regulatory sources to stay updated on adjudication rules and reimbursement policies
• Validate system-generated valuations against client-submitted claims and estimates, ensuring accuracy and compliance

Required Qualifications

• 3+ years' experience in the hospital industry with involvement in payer contracts and reimbursement methodologies
• 2+ years' experience in hospital billing, claims management, and payer contracting
• 2+ years' knowledge of facility reimbursement models for commercial payers, Medicare, and Medicaid
• 2+ years' proficiency in coding systems including CPT, HCPCS, DRG, and ICD-10 codes
• Bachelor's degree in Healthcare Administration, Finance, Accounting, or Business Administration is beneficial