Healthcare Reimbursement Modeling Analyst

Community Health Systems, Inc.; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

Community Health Systems, Inc. seeks a data-driven professional to provide data retrieval, contract modeling, and financial analysis support to the Director, VP, and Managed Care Regional Contracting Directors.

You will retrieve reimbursement data, build and review financial models, and prepare concise reports that explain the impact of proposed payer methodologies. Strong Excel skills and familiarity with healthcare billing terms are essential.

Qualifications

• Bachelor’s degree in Accounting or Data Analytics required or preferred.
• 2-5 years work experience in hospital, physician, health plan financial analysis or equivalent.
• Knowledge of reimbursement methodology including DRG, APC, COPPS, OPPS, Case Rates, Per Diems, HCPCS and CPT Code Fee Schedules.

Responsibilities

• Retrieves reimbursement data from hospital and physician accounting systems.
• Builds financial models to analyze and evaluate reimbursement impact of payer proposals.
• Works with Directors on contract interpretation issues to ensure accuracy of models and analysis.
• Produces clear written reports summarizing payment modeling analysis.
• QA monthly data loads.
• Completes special projects/reports as needed.

Skills

Reimbursement knowledge

Financial modeling

Data analysis

Written and verbal communication

Independent work

Education

Bachelor’s degree in Accounting or Data Analytics

2-5 years work experience

Tools

Excel

FinThrive

Access

SQL

Job description

Community Health Systems, Inc. seeks a data-driven professional to provide data retrieval, contract modeling, and financial analysis support to the Director, VP, and Managed Care Regional Contracting Directors.

You will retrieve reimbursement data, build and review financial models, and prepare concise reports that explain the impact of proposed payer methodologies. Strong Excel skills and familiarity with healthcare billing terms are essential.