Senior Billing Compliance Analyst

Responsibilities

• Conduct and manage Hospital and Professional billing compliance audits, reviews, projects, and investigations
• Identify significant issues within the scope of audits to ensure compliance with statutes and regulations
• Develop ongoing billing compliance training and awareness initiatives
• Analyze regulatory healthcare environment via state, federal, and industry publications
• Manage the Billing Compliance Program Policy and Procedures life cycle process
• Provide subject matter expertise for policy updates and best practices

Requirements

• Minimum 5 years of experience in Healthcare Billing, Coding, or Compliance
• Recent (last 3-5 years) Epic HB or PB Billing Compliance experience
• Advanced knowledge of ICD-10-CM, CPT, and HCPCS coding systems
• Strong understanding of CMS and OIG guidelines
• Advanced knowledge of Epic charge router logic and clinical workflows
• Bachelor's degree in Business, Healthcare Administration, or Health Information Management preferred
• Certified Healthcare Compliance (CHC) preferred

About the Company

Saint Francis is a Catholic, not-for-profit health system based in Tulsa, Oklahoma, and is the largest private employer in Eastern Oklahoma.