Contract Management Coordinator

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 Management Coordinator.

 

POSITION SUMMARY

 

The Contract Management Coordinator is responsible for maintaining accuracy in the Contract Management (CM) system through loading and auditing of Medicare 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 contract management  system
  • Coordinate with Reimbursement Managers to identify changes for governmental payers for contract loading
  • Maintain master  list of all facilities’ Medicare factors and ensure 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.

 

Education and Work Experience:

  • Bachelor’s Degree preferred.
  • 2+ years of experience required; healthcare and corporate office experience preferred.

Additional Requirements: 

  • Knowledge of Medicare payment methodologies desirable
  • Extensive use of Excel spreadsheets and pivot table reporting.
  • Knowledge of payer reimbursement systems to be able to verify if contract management system is pricing claims correctly based on contract and regulatory terms.
  • Knowledge of basic coding elements such as DRGs, CPT/HCPC codes, Bill Types, etc.
  • Experience or ability to learn contract management system and patient accounting system.
  • Experience or ability to reconcile data flow from source systems to contract management system.
  • Work well in a team environment.