Senior Billing Compliance Analyst

Saint Francis

WorldwideFully remoteFull TimeSeniorHealthcare & Telemedicine
No salary statedPosted 2w ago

Why we think you can apply

Hiring model
Open worldwide · the employer states no country restriction
Work from
Anywhere, the UAE included

Posted 18 days ago · apply link checked 52 minutes ago

About the role

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.

What we look for

  • Recent Epic HB or PB Billing Compliance experience
  • Minimum 5 years healthcare billing, coding, or compliance experience
  • Advanced knowledge of ICD-10-CM, CPT, and HCPCS
  • Strong data analysis capabilities
  • Knowledge of CMS and OIG guidelines
EpicICD-10Data Analysis
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