Contract Analyst

Kansas-City-Orthopaedic-Institute-1; Leawood (KS); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

6 company paid holidays

Rich PTO accruals

Medical, Dental, and Vision

Wellness program

HSA/FSA option

401(K) with match

Company paid Life and LT Disability

Optional Voluntary Benefits

Employee Assistance Program

Job summary

Kansas City Orthopaedic Institute is seeking an experienced Contract Analyst to join our Revenue Cycle team. This is a full-time, exempt position, Monday–Friday from 8am-5pm, working under the direction of the Director of Revenue Cycle Management.

The Contract Analyst focuses on contract modeling, reimbursement analysis, and supporting payer contract negotiations while monitoring underpayments and contributing to AR process improvements to optimize revenue.

Qualifications

• High school diploma and/or an Associate's or Bachelor's degree preferred.
• At least 3 years of hospital billing experience required.
• Proficient in Microsoft Excel with the ability to analyze data and support revenue cycle processes.

Responsibilities

• Manage the RCM Contract Module, including contract modeling and reimbursement analysis.
• Monitor payer contract performance and monthly variance reports.
• Identify underpayments, especially Workers' Compensation, and support legal reviews.
• Prepare monthly financial and operational reports for Rehabilitation services and AR improvements.
• Assist with denial analysis, old AR resolution, and small-balance account cleanup.

Education

Associate's or Bachelor's degree preferred

Tools

Microsoft Excel

Job description

Kansas City Orthopaedic Institute is a single specialty orthopedic hospital. We are physician owned and have been serving the Kansas City area for 25 years.We're seeking an experienced Contract Analyst to join our Revenue Cycle team. This is a full-time, exempt position, Mondays-Fridays from 8am-5pm, working under the direction of the and works under the direction of the Director of Revenue Cycle Management.The Contract Analyst is responsible for monitoring and reporting on key KCOI departments and service lines, including Rehabilitation, Urgent Care, MRI, Inpatient, and Outpatient services. This role serves as the primary resource for contract modeling and reimbursement analysis within the Revenue Cycle Management (RCM) Contracting Module. The Contract Analyst focuses on identifying underpayments, particularly Workers' Compensation claims, supporting contract negotiations, and contributing to accounts receivable (AR) process improvements that optimize organizational revenue performance.Essential Responsibilities:Managing and maintaining the RCM Contract Module, including contract modeling, reimbursement analysis, and support for payer contract negotiations.Monitoring payer contract performanceRunning and analyzing monthly variance reports to identify underpayments. below-cost reimbursement, and opportunities for improvement of revenueAnalyzing Worker's Compensation claims for underpayments, preparing cases for legal reviews, and tracking claim recovery efforts.Maintaining reimbursement benchmarking data, including tracking procedure codes and comparing reimbursements against market and competitor rates.Preparing and distributing monthly financial and operational reports for Rehabilitation services and provide recommendations to improve billing and revenue cycle processes.Monitoring bundled payment arrangements to ensure accurate claim setup, prevention of inappropriate billing, and facilitating timely payments to downstream providers.Supporting AR management by assisting with denial analysis, old AR resolution, and small-balance account cleanup.We provide a robust benefits package, including:6 company paid holidaysRich PTO AccrualsEmployer discretionary bonusesMedical, Dental, and VisionWellness program with abilities to reduce premiumsHSA/FSA optionCompany Paid Life and Long-Term Disability401(K) with a substantial company matchOptional Voluntary Benefits plansEmployee Assistance ProgramQualificationsHigh school diploma, Associates or Bachelor’s degree preferredWork experience equivalency of at least 3 years in Hospital Billing (required)Proficient in Microsoft ExcelSelf-directed and ability to work with minimal supervisionAbility to work independently and collaboratively in a fast-paced environment