- Remote, United States
- Remote
- Full-time · Senior
- 5+ years
The Senior Billing Compliance Analyst provides advanced support to the health system’s billing compliance program by performing complex audits, leading data analytics activities, and guiding prevention and monitoring strategies.
Responsibilities
- Conducts and manages Hospital and Professional billing compliance audits, reviews projects and investigations.
- Identifies significant issues within scope of the audit/review/project/investigation ensuring billing compliance with appropriate statutes, rules and regulations.
- Develops on-going billing compliance training and awareness initiatives.
- Analyzes and evaluates information related to the regulatory healthcare environment by monitoring the appropriate state, federal and industry websites, publications, and journals.
- Develops billing compliance related documents including stakeholder input, review, and approval.
Requirements
- High school diploma or GED
- Bachelor’s degree in Business, Healthcare Administration, or Health Information Management
- Nice to have: Certified Healthcare Compliance (CHC) from the Healthcare Compliance Association (HCCA)
- Nice to have: Audit Process and Data Analysis experience