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Revenue Cycle Contract Modeling Analyst Lead

Company

CommonSpirit Health

Location

Chicago, United States

Type

Full-time

**Job Summary and Responsibilities**

**Job Summary / Purpose**
Responsible for leading the efforts in building and testing the contract modeling calculation that applies the contractual adjustment at the time of billing and produces the Expected Payment within the AR/Revenue Cycle system (Meditech, PCON, Epic, PIC). This position provides technical guidance on complex modeling scenarios, manages related projects/tasks, and ensures the integrity of calculations, which are relied upon to estimate Net AR, a focus of the financial audit, and to identify and pursue underpayments.

**Essential Functions**
Essential Function

+ Contract Build and Modeling Leadership: Lead the input, building, testing, and maintenance of Payor contracts to accurately calculate net expected reimbursement and apply contractual adjustments at the time of billing for Epic, Meditech, PCON, and PIC.
+ Interpretation and Expertise: Serve as the subject matter expert in interpreting c...

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