Job Posting for Contract Management Analyst (REMOTE) at SSC - Nashville
ESSENTIAL DUTIES AND RESPONSIBILITIES
Load (“programs”) executed managed care contracts into the contract management system
Update contracts with scheduled rate changes as of effective dates
Build new service definitions and implements new reimbursement methodology into the system as required
Consult with contract negotiators to recommend precise language and meaning of contracts to ensure that the contract template accurately calculates the terms of the contract as negotiated
Monitor periodic changes in recognized coding schemes (ICD, CPT, and DRG) to anticipate impacts on contract language, calculations and reimbursement of specific contracts using those codes
Performs other related duties as assigned or requested
QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
KNOWLEDGE, SKILLS, AND ABILITIES
Highly organized
Initiative to work independently
Ability to define problems collects data, establish facts, and draw valid conclusions
Proficient with telephone and email communications
Basic understanding of medical coding systems affecting the adjudication of patient accounts in EDI or UB04 form, including: ICD-9, CPT, HCPCS, DRG, APG, APC, and revenue code structures
Interest and aptitude in computer-based applications for complex business processes involving Boolean expressions, symbolic representation and procedural logic
Required PC competencies including intermediate Microsoft Office skills
Excellent interpersonal skills required to communicate with direct staff and internal/external customers
Must possess excellent time management and organizational skills with great attention to detail
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