Contract Analyst Government Payer

Shift: Day
Schedule: Full - Time Regular

Ardent Health Services invests in people, technology, facilities and communities, producing high-quality care and extraordinary results. Based in Nashville, Tennessee, Ardent’s subsidiaries own and operate 31 hospitals in seven states with more than 25,000 employees including 1,150 employed providers. Ardent facilities exceed national averages in Overall Hospital Quality Star Rating as ranked by the Centers for Medicare & Medicaid Services; 89 percent of its hospitals received a three-star rating or above in comparison with 73 percent of all hospitals ranked. Seven of the company's hospitals were recognized by Modern Healthcare as "Best Places to Work" in 2017 – more than any other system in the country. Ardent's corporate office was named "Top Work Places" for Nashville based companies in 2017.

 

We have an exciting opportunity to join our Contract Management team as a Contract Analyst. This position has a focus on government payers.

POSITION SUMMARY

The Contract Analyst is responsible for maintaining accuracy in the Contract Management (CM) system through loading and auditing of Medicare and other government payer’s contract rates.   Analysis of results produced from the CM system with the goal of finding missed revenue as time permits.

PRIMARY RESPONSIBILITIES

  • Coordinate changes needed for Medicare and Medicare based contracts in CM system
  • Coordinate with Reimbursement Managers to identify changes for governmental payers for contract loading
  • Maintain master list of all facilities’ Medicare factors and insure timely updating of factors in CM system
  • Loading and auditing of contract terms into Contract Management System
  • Ability to understand payment methodology and utilize formulas with system syntax to correctly program reimbursement rates for Medicare
  • Provide cross-market support to Contract Analysts in the form of contract audits or ad-hoc reports upon request as time permits.
  • Ability to analyze data to determine corrective actions needed to effectively understand changes required to maintain the integrity of the contract management system
  • Ability to understand payment methodology and utilize formulas with system syntax to correctly program reimbursement rates for contracted government payers and assist as needed with commercial payers
  • Maintain working knowledge of contract management and patient accounting systems
  • Monitor government websites for changes to reimbursement methodologies

 

 

Education:  Degree, BBA or BS in accounting, finance or business preferred or equivalent work experience

Work Experience:

  • 2+ years of experience working with Medicare reimbursement methodology required and ability to calculate expected reimbursement
  • Contract management or loading experience preferred
  • EPIC and/or Nthrive (Med Assets) experience a plus

Additional Requirements: 

  • Intermediate Excel experience
  • Knowledge of basic coding elements such as DRGs, CPT/HCPC codes, Bill Types, etc. required
  • Excellent verbal, analytical and interpersonal skills
  • Work well in a team environment.