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Community Health Systems Professional Services Corporation

Financial Analyst

Community Health Systems Professional Services Corporation Franklin, Tennessee, United States

Hospitals and Health Care · 10,001+ employees

Oct 19
financial-analyst Mid (2-5 yrs) Full-time United States
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About the role

Retrieve reimbursement data and build financial models to evaluate the impact of hospital and physician payer reimbursement proposals. Support contract interpretation, validate monthly data loads, and prepare concise reports on payment modeling analyses and special projects.

What they look for

Financial Analysis Financial Modeling Healthcare Reimbursement Methodologies Contract Interpretation Data Retrieval Data Quality Assurance Excel Healthcare Billing And Coding Payment Modeling Written Communication Verbal Communication Project Management SQL Microsoft Access FinThrive

Requirements

Requires a bachelor’s degree and 2–5 years of experience, with knowledge of healthcare reimbursement methodologies, billing and coding terminology, and health plan product lines. Candidates should have strong Excel skills, communicate technical issues clearly, and manage multiple projects independently; experience with FinThrive, Access, or SQL is preferred.

Full description

Job Summary

Provides data retrieval / contract modeling / financial analysis support to Director, VP, and Managed Care Regional Contracting Directors.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

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

Qualifications:

  • Well versed in reimbursement methodology including DRG, APC, COPPS, OPPS, Case Rates, Per Diems, HCPCS and CPT Code Fee Schedules (2-5 years’ experience).
  • Familiar with hospital and physician billing and coding terminology including diagnostic codes, revenue codes, procedure codes, and HCPCS codes.
  • Well versed in healthcare product lines including HMO, PPO, HIX, Medicare, Medicaid, Tricare, Workers Comp.
  • Must be able to clearly communicate complex and technical issues in writing and verbally.
  • Must have the ability to work independently and manage multiple projects simultaneously

Computer Skills:

To perform this job successfully, an individual should have knowledge of

  • Word Processing software
  • Exceptional skills in Excel.
  • Knowledge of contract modeling systems such as FinThrive preferred.
  • Knowledge of Access or SQL preferred.

Education/Experience:

  • Bachelor’s degree required; emphasis in Accounting or Data Analytics preferred
  • 2-5 years’ work experience required
  • Prior experience in hospital, physician or health plan financial analysis, or equivalent experience preferred
  • Knows/has modeled/worked with health plan/hospital and physician managed care commercial and Medicare reimbursement methodologies and terminology

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