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A company is looking for a Hospital Contract Definition Analyst, Healthcare (Remote).

Key Responsibilities

Analyze, define, and maintain hospital payer contracts using reimbursement methodologies

Research payer websites and regulatory sources to stay updated on adjudication rules and reimbursement policies

Validate system-generated valuations against client-submitted claims and estimates, reconciling discrepancies

Required Qualifications

3+ years' experience in the hospital industry with payer contracts and reimbursement methodologies

2+ years' experience in hospital billing, claims management, and payer contracting

2+ years' knowledge of facility reimbursement models for commercial payers, Medicare, and Medicaid

2+ years' proficiency in coding systems including CPT, HCPCS, DRG, and ICD-10 codes

Bachelor's degree in Healthcare Administration, Finance, Accounting, or Business Administration preferred