Epic Contract Modeling Analyst (Remote)

Nemours; Jacksonville (FL); On-site; USD 95,000 - 130,000; Full time

Job summary

Nemours is seeking a Contract Modeling Analyst to join our team. This remote role allows occasional travel and requires residing in Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia, Illinois, Maryland, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia.

Implementation and maintenance of Epic's Contract Reimbursement system for professional practices and hospitals ensures proper calculation of accounts

Qualifications

• Bachelor's degree required; or equivalent healthcare specific work experience may be used in lieu of degree.
• Epic Professional Billing Reimbursement Contracts Certification and Epic Hospital Billing Expected Reimbursement Contracts Certification required
• 5+ years of demonstrated strong analytical skills with knowledge of patient accounts or healthcare contract analysis and reimbursement.

Responsibilities

• Develop, test, implement and maintain Epic reimbursement contracts including rate and fee schedule adjustments, CPTs, provider and component updates.
• Develop, test, implement and maintain Epic pricing contracts with rate, CPTs and provider adjustments.
• Develop and maintain provider networks and fee schedules for facility and non-facility CPT codes and modifier reimbursement.
• Thoroughly document the purpose and details of all system changes.

Skills

Analytical skills

Education

Bachelor's degree

Epic Professional Billing Reimbursement Contracts Certification

Epic Hospital Billing Expected Reimbursement Contracts Certification

Job description

Nemours is seeking a Contract Modeling Analyst to join our team. This remote role allows occasional travel and requires residing in Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia, Illinois, Maryland, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia.

Implementation and maintenance of Epic's Contract Reimbursement system for professional practices and hospitals ensures proper calculation of accounts