Contract Analyst, Healthcare

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 position, Mondays-Fridays from 8am-5pm, working under the direction of the and works 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 premiumsHSA/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