Remote Healthcare administration Jobs · CPT

• The Hospital Contract Definition Analyst plays a critical role in the implementation and maintenance of hospital payer contracts within Experian Health's Contract Manager system.
• You will ensure accurate modeling of reimbursement methodologies to support valuation of hospital claims and patient estimates and collaborate with senior team members to process new client implementations.
• Independently manages routine maintenance cases, ensuring compliance with enterprise standards and client expectations.

Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries where their corporate headquarters are in Dublin, Ireland.

• Interpret and apply CMS, Medicare, Medicaid, and AMA policies to define claims editing logic.
• Analyze claims and edit performance data to confirm accuracy and prioritize enhancements.
• Monitor regulatory updates and coding changes to keep edits current and compliant.

Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. They use an AI-powered platform with expertise across the payment continuum, serving over 85 health plans and 270 million lives.

• Accurately assign ICD-10-CM, CPT, and HCPCS codes for Behavioral Health and SUD services.
• Review clinical documentation to ensure coding accuracy and compliance.
• Stay current with coding updates, payer policies, and regulatory changes.

Steadfast Health is dedicated to setting a new standard of care for substance use disorder (SUD) treatment. They are rapidly growing and building a dedicated team of professionals, focused on low-barrier, high-quality care accessible to all.