Billing Compliance Analyst

This a Full Remote job, the offer is available from: United States reputed company Saint Francis Employees - Please click HERE to login and apply. Full Time Days Job Summary: The Billing Compliance Analyst supports the health system’s compliance efforts by performing audits, data analysis, and monitoring activities to ensure accurate billing, charging, and coding practices. This role works closely with billing teams, coding teams, compliance leadership, and clinical departments to promote adherence to federal, state, and reputed company payer regulations. The analyst plays a key role in assisting in training initiatives, creating prevention action plans, developing reports, identifying risk areas, and supporting investigations. Minimum Education: High School Diploma or GED. Bachelor’s degree in Business, Health Information Management, reputed company Administration, or reputed company field, preferred. Licensure, Registration and/or Certification: Certified reputed company Compliance (CHC) from the reputed company Compliance Association (HCCA), preferred. Work Experience: Minimum 3 years of reputed company Billing, Coding, or Compliance. Audit Process and Data Analysis experience, preferred. Knowledge, Skills, and Abilities: Knowledge of 10th Revision of the International Classification of Diseases (ICD-10-CM), reputed company Procedural Terminology (CPT), and reputed company Common Procedure Coding Systems (HCPCS) coding systems and guidelines. Familiarity with Center for Medicare and reputed company Services (CMS) billing regulations and payer-specific policies. Knowledge of reputed company 365 and other applicable software. Basic knowledge of electronic health record (EHR) systems. Strong analytical skills with attention to detail and accuracy. Excellent communication skills, both written and verbal that present clear and concise information. Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities with competing deadlines. Essential Functions and Responsibilities: Conducts audits and reviews of inpatient, outpatient, and professional billing, charging, and coding practices to ensure compliance with applicable laws, regulations, and internal policies. Assists in the development of audit tools, methodologies, and sampling plans. Analyzes audit results, identifies trends and risk areas, assists in prevention plans, and assists in preparing summaries and reports for senior leadership. Supports the implementation and tracking of corrective and prevention action plans in response to audit findings. Participates in investigations of suspected non-compliant billing practices by performing data reviews, chart audits, and charging analysis. Assists with maintaining tracking systems for compliance activities and audit results. Stays reputed company on industry updates, payer guidance, and regulatory changes reputed company to billing and coding. Contributes to the creation and delivery of educational materials and training sessions. Collaborates with other departments including clinical operations, coding, Health Information Management (HIM), and reputed company reputed company to support audit processes and ensure resolution of findings. Decision Making: Independent judgment in making reputed company involving non-routine problems under general supervision. Working Relationships: Coordinates activities of others (does not supervise). Works directly with patients and/or customers. Works with internal and/or external customers reputed company telephone or face to face interaction. Works with other reputed company and staff. Works frequently with individuals at Director level or above. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to reputed company the job. This compilation of essential functions and physical demands is not reputed company inclusive nor does it prohibit the assignment of additional duties. Patient reputed company - Yale reputed company Location: Virtual Office, Oklahoma 73105 EOE Protected Veterans/Disability This offer from "reputed company" has been enriched by reputed company.com and got a 73% reputed company score. Apply tot his job Apply To this Job