Revenue Integrity & Contract Compliance Analyst

Shared Services Center - Nashville; United States; Vor Ort; USD 65.000 - 90.000; Vollzeit

Benefits dieser Stelle

Health coverage

401(k) with matching

Student loan support

Tuition assistance

Competitive pay

Zusammenfassung

Community Health Systems in Franklin, TN, is hiring a Payment Compliance & Contract Management Analyst to optimize payer reimbursement and contract compliance. You will work with financial, clinical, and operational teams to improve revenue cycle processes and maximize revenue from managed care and government contracts.

The role requires understanding of medical coding, reimbursement structures, and contract terms, with collaboration across departments to ensure accurate account adjudication and

Qualifikationen

• 2-4 years of experience in revenue cycle management, contract compliance, or healthcare reimbursement analysis required.
• Strong understanding of managed care, government contracts, and reimbursement processes.
• Proficiency in data analysis and interpreting complex data sets.

Aufgaben

• Analyzes contract reimbursement for variances, trends, denials, and leakage to maximize reimbursement.
• Manages underpayment appeals and follow-up with payers and internal teams.
• Interprets contract terms, ensures compliance, and provides feedback to management.
• Compiles and presents data on payment trends and revenue opportunities for process improvements.
• Maintains reports identifying discrepancies and performance metrics for management review.

Jobbeschreibung

Community Health Systems in Franklin, TN, is hiring a Payment Compliance & Contract Management Analyst to optimize payer reimbursement and contract compliance. You will work with financial, clinical, and operational teams to improve revenue cycle processes and maximize revenue from managed care and government contracts.

The role requires understanding of medical coding, reimbursement structures, and contract terms, with collaboration across departments to ensure accurate account adjudication and