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 regulatory and payer updates while assisting in the revision of internal policies, procedures, and guidance.

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

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

• Recognize trends, risks, and compliance deficiencies, aiding in the formulation of corrective action plans.

• Track and verify remediation efforts to guarantee ongoing compliance.

• Support compliance training and education concerning ACU-Serve’s corporate compliance standards and initiatives.

• Convey audit findings and regulatory updates in a clear and actionable manner.

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

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

• Ensure the maintenance of accurate and organized compliance records.

⛳️ Requirements

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

• Minimum of 2 years of relevant experience in healthcare billing, compliance, auditing, or revenue cycle management.

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

• Ability to operate independently in a remote setting while managing competing priorities.

• Excellent attention to detail and strong analytical skills.

• 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 requirements, or compliance investigations.

• Strong written and verbal communication skills.

• Exceptional organizational and time management skills.

• Proficient problem-solving and critical-thinking abilities.

• High ethical standards and a commitment to confidentiality.

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

🏝️ Benefits

• Professional certifications such as CHC, CHPC, CPC, CCS, or similar.

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