Compliance Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee adherence to relevant laws and regulations, including CMS, Medicare, Medicaid, HIPAA, OIG guidance, and specific billing requirements for DME and Home Infusion.

• Monitor updates from regulatory bodies and payers while assisting in the revision of internal policies, procedures, and guidelines.

• Work together with billing and coding teams to address compliance-related challenges.

• Conduct regular and targeted compliance audits of third-party vendors, documentation, and internal operational workflows.

• Detect trends, risks, and compliance deficiencies and aid in formulating corrective action plans.

• Monitor and verify remediation activities to guarantee ongoing compliance.

• Support compliance training and educational initiatives pertaining to ACU-Serve’s corporate compliance obligations.

• Present audit results and regulatory updates in a clear and actionable format.

• Compile audit summaries, compliance reports, and tracking logs.

• Assist in responses to HITRUST audits, customer compliance inquiries, and requests for compliance-related documentation.

• Keep precise and organized compliance records.

⛳️ Requirements

• Bachelor's degree in Healthcare Administration, Compliance, Business, or a related discipline, or equivalent relevant experience.

• A minimum of 2 years of pertinent experience in healthcare billing, compliance, auditing, or revenue cycle management.

• Familiarity with Medicare, Medicaid, and commercial payer billing requirements.

• Capability to work independently in a remote setting while managing competing priorities.

• Exceptional attention to detail and strong analytical abilities.

• Experience in a third-party billing or revenue cycle management organization.

• Practical experience with DME and/or Home Infusion billing.

• Exposure to OCR audits, HITRUST certification criteria, or compliance investigations.

• Excellent written and verbal communication skills.

• Strong organizational skills and time management capabilities.

• Proficient problem-solving and critical-thinking skills.

• High ethical standards with a commitment to confidentiality.

• Proficiency in billing platforms, EHRs, and Microsoft Office (Excel is required).

🏝️ Benefits

• Opportunities for professional certifications such as CHC, CHPC, CPC, CCS, or similar.

• Understanding of HIPAA privacy and security requirements within a remote work environment.