Billing Compliance Auditor, Data Analyst

This is a fully remote position, open to applicants in Mexico, +2 more countries.

📋 Description

• Develop data collection instruments, Excel models, and dashboards from scratch to monitor billing audit findings, error rates, and trends.

• Aggregate audit outcomes and deliver reports and insights to programs, executive leadership, and compliance committees.

• Implement statistical sampling and conduct data quality assessments on audit findings.

• Collaborate with Finance and Data Analytics teams to align data warehouses with the compliance team's initiatives.

• Examine billing documentation and provide support for audits and investigations as necessary.

• Investigate healthcare regulations and leverage AI tools such as Claude, ChatGPT, and Copilot to assist with analysis and process development.

⛳️ Requirements

• Significant experience (approximately 6+ years) in data analysis and reporting, including the creation of tools and processes from the ground up.

• Proficient in advanced Excel techniques.

• Practical experience with Power BI or a comparable BI tool.

• Fluent in English, capable of presenting findings to U.S. executives.

• Ability to work independently without direct supervision.

• Competent in conveying data insights to non-technical audiences.

• Preferred: experience in healthcare, particularly in billing, claims, revenue cycle, or compliance audits.

• Preferred: knowledge of U.S. healthcare regulations (Medicaid, CMS, HIPAA).

• Preferred: experience with EHR systems and reviewing narrative or clinical documentation.

🏝️ Benefits

• Fully remote work environment.

• Full-time employment schedule.

• 35 hours of work per week.