Payment Compliance and Contract Management Analyst - REMOTE jobs in United States
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Tennova Healthcare- North Knoxville Medical Center ยท 1 day ago

Payment Compliance and Contract Management Analyst - REMOTE

positionUnited States
timeFull-time, Contract
remoteRemote
seniorityEntry, Mid Level
date2+ years exp

Tennova Healthcare is a leading healthcare provider committed to helping people get well and live healthier. The Payment Compliance & Contract Management Analyst is responsible for maximizing reimbursement by analyzing contract compliance, identifying revenue opportunities, and collaborating with financial and clinical teams to enhance revenue cycle processes.

Hospital & Health Care

Responsibilities

Analyzes contract reimbursement, identifying variances, trends in underpayments/overpayments, denials, and revenue leakage to support maximization of reimbursement
Manages underpayment appeals and account follow-up, working collaboratively with payers and internal teams to resolve discrepancies in a timely manner
Interprets contract terms, validates compliance, and provides feedback to management and departments to ensure accurate reimbursement processes
Compiles, analyzes, and presents data on payment trends, making recommendations for improvements in revenue cycle processes
Reviews payer policies and updates for their impact on reimbursement, communicating changes to appropriate teams to ensure compliance
Develops and maintains reports that identify payment discrepancies, revenue opportunities, and performance metrics for management review
Collaborates with financial, clinical, and operational teams to address contract compliance issues and enhance payer relations
Maintains knowledge of medical coding systems, reimbursement structures, and regulatory changes to support accurate account adjudication
Performs other duties as assigned
Maintains regular and reliable attendance
Complies with all policies and standards

Qualification

Revenue cycle managementContract complianceData analysisMedical coding systemsMicrosoft Office SuiteCommunication skillsOrganizational skills

Required

H.S. Diploma or GED required
2-4 years of experience in revenue cycle management, contract compliance, or healthcare reimbursement analysis required

Preferred

Associate Degree or higher preferred

Benefits

Medical
Dental and vision
Insurance
401k

Company

Tennova Healthcare- North Knoxville Medical Center

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North Knoxville Medical Center is an acute care hospital.
location
Powell, Tennessee, US
people-size501-1000 employees
web-link
https://www.tennovanorthknoxville.com/

Funding

Current Stage
Late Stage

Leadership Team

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Bill Rich
Chief Executive Officer
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Company data provided by crunchbase