Senior Billing Compliance Analyst

📋 Description

• Lead and manage complex hospital and professional billing compliance audits, reviews
• Analyze billing, coding, charging, and operational data to identify compliance risks, systemic
• Evaluate compliance with federal and state regulations, CMS billing requirements, OIG focus areas
• Serve as a billing compliance subject matter expert, advising operational leaders, compliance
• Develop and maintain billing compliance training, awareness initiatives, policies, procedures, and
• Monitor regulatory developments, healthcare industry publications, government resources, and other

🎯 Requirements

• Minimum of 5 years of experience in healthcare billing, coding, or compliance, with recent 3–5
• High school diploma or GED required; a bachelor’s degree in Business, Healthcare Administration
• Certified Healthcare Compliance (CHC) certification is preferred but not required.
• Advanced knowledge of ICD-10-CM, CPT, and HCPCS coding systems, coding guidelines, and federal and
• Strong understanding of CMS billing guidelines, OIG Work Plan focus areas, payer-specific
• Advanced knowledge of Epic, including charge router logic, clinical workflows, charging

🎁 Benefits

• Remote work opportunity based in Oklahoma, United States.
• Competitive compensation aligned with experience, qualifications, and job-related factors.
• Opportunity to work in a senior, highly visible billing compliance role with frequent interaction
• Meaningful opportunity to influence healthcare billing compliance, risk management, training, and
• Collaborative environment involving compliance, revenue cycle, coding, clinical, and operational
• Opportunity to apply advanced analytics and healthcare compliance expertise to complex