Contract Modeling Analyst
CurrentCombines in depth healthcare knowledge and technical and analytic skills and financial skills to ensure all aspects of a contract are implemented and managed throughout the life of the contract. Coordinates with other departments to ensure that expected reimbursement rules are up-to-date and accurate. Maintains a schedule of key update dates for expected reimbursement rules, such as Medicare OP quarterly updates, yearly Diagnostic Related Group (DRG) updates, and yearly increases for the Managed Care contracts. Responsible for developing, testing and maintaining expected reimbursement rules to accurately post the expected reimbursement and contractual within the AR/Revenue Cycle system (Epic, PIC). This position directly impacts financial statements as these calculations are relied upon to estimate Net AR and is a focus of the financial audit