Kansas City Orthopaedic Institute is a single specialty orthopedic hospital. We are physician owned and have been serving the Kansas City area for 25 years.
We're seeking an experienced Contract Analyst to join our Revenue Cycle team. This is a full-time, exempt HYBRID position, Mondays-Fridays from 8am-5pm, with the availability to work in the office a few days per month.
ONLY LOCAL CANDIDATES WILL BE CONSIDERED
Working under the direction of the Director of Revenue Cycle Management, the Contract Analyst is responsible for monitoring and reporting on key KCOI departments and service lines, including Rehabilitation, Urgent Care, MRI, Inpatient, and Outpatient services. This role serves as the primary resource for contract modeling and reimbursement analysis within the Revenue Cycle Management (RCM) Contracting Module. The Contract Analyst focuses on identifying underpayments, particularly Workers' Compensation claims, supporting contract negotiations, and contributing to accounts receivable (AR) process improvements that optimize organizational revenue performance.
Essential Responsibilities:
- Managing and maintaining the RCM Contract Module, including contract modeling, reimbursement analysis, and support for payer contract negotiations.
- Monitoring payer contract performance
- Running and analyzing monthly variance reports to identify underpayments. below-cost reimbursement, and opportunities for improvement of revenue
- Analyzing Worker's Compensation claims for underpayments, preparing cases for legal reviews, and tracking claim recovery efforts.
- Maintaining reimbursement benchmarking data, including tracking procedure codes and comparing reimbursements against market and competitor rates.
- Preparing and distributing monthly financial and operational reports for Rehabilitation services and provide recommendations to improve billing and revenue cycle processes.
- Monitoring bundled payment arrangements to ensure accurate claim setup, prevention of inappropriate billing, and facilitating timely payments to downstream providers.
- Supporting AR management by assisting with denial analysis, old AR resolution, and small-balance account cleanup.
We provide a robust benefits package, including:
- 6 company paid holidays
- Rich PTO Accruals
- Employer discretionary bonuses
- Medical, Dental, and Vision
- Wellness program with abilities to reduce premiums
- HSA/FSA option
- Company Paid Life and Long-Term Disability
- 401(K) with a substantial company match
- Optional Voluntary Benefits plans
- Employee Assistance Program
Qualifications
- High school diploma, Associates or Bachelor’s degree preferred
- Work experience equivalency of at least 3 years in Hospital Billing (required)
- Proficient in Microsoft Excel
- Self-directed and ability to work with minimal supervision
- Ability to work independently and collaboratively in a fast-paced environment
Skills Required
- At least 3 years of hospital billing experience
- High school diploma
- Associate’s or bachelor’s degree
- Proficiency in Microsoft Excel
- Ability to work independently with minimal supervision
- Ability to work independently and collaboratively in a fast-paced environment
- Local Kansas City candidacy
What We Do
Kansas City Orthopaedic Institute is a physician-owned acute-care specialty hospital dedicated exclusively to orthopedic and musculoskeletal care. It provides comprehensive surgical and nonsurgical treatment, orthopedic urgent care, diagnostic imaging, physical and occupational therapy, rehabilitation, and interventional pain management. Founded through an alliance of leading orthopedic surgeons and Saint Luke’s Health System, the hospital serves patients throughout the Kansas City metropolitan area.
