Similar Jobs
See allEpic Analyst III (Resolute Hospital Billing Claims and Electronic Remittance)
Emory Healthcare
US
Claims Processing
Project Management
Coding Compliance Audit Specialist
Privia Health
US
CPC
CPT
ICD-10
Clinical Research Billing Compliance Manager
Ohsu
US
Process Improvement
Microsoft Office
Epic
RCM Specialist / Certified Professional Coder (CPC)
Workit Health
US
Medical Billing
Claims Processing
Excel
New Healthcare Audit Policy Analyst (Registered Nurse or Medical Coder)
Machinify
US
Medical Coding
Payment Integrity
Data Analysis
Accountabilities:
- Lead and manage complex hospital and professional billing compliance audits, reviews, and investigations.
- Analyze billing, coding, and operational data to identify compliance risks and develop actionable recommendations.
- Serve as a billing compliance subject matter expert, advising operational leaders and developing training materials.
Requirements:
- Minimum of 5 years of experience in healthcare billing, coding, or compliance, with recent Epic HB or PB Billing Compliance experience.
- Advanced knowledge of ICD-10-CM, CPT, and HCPCS coding systems and federal/state billing regulations.
- Strong analytical capabilities and proficiency in data analysis to translate findings into compliance conclusions.
Benefits:
- Remote work opportunity based in the United States with competitive compensation.
- Opportunity to work in a senior, highly visible billing compliance role with frequent interaction with Director-level stakeholders.
- Collaborative environment involving compliance, revenue cycle, coding, clinical, and operational teams.
Unknown
The company is a healthcare organization focused on billing compliance and risk management, providing auditing and advisory services. It offers a remote-first collaborative environment with opportunities to influence policies and work with senior leaders.