Compliance Analyst
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Job Description
Compliance Analyst supporting compliance program for DME and Home Infusion billing services. Ensuring adherence to federal, state, and payer regulations while collaborating with various teams.
Responsibilities:
- Monitor compliance with applicable laws and regulations, including CMS, Medicare, Medicaid, HIPAA, OIG guidance, and payer-specific billing requirements for DME and Home Infusion
- Track regulatory and payer updates and assist with updating internal policies, procedures, and guidance
- Collaborate with billing and coding teams to resolve compliance-related issues
- Perform routine and focused compliance audits of third-party vendors, documentation, and internal operations workflows
- Identify trends, risks, and compliance gaps and assist in developing corrective action plans
- Track and validate remediation efforts to ensure ongoing compliance
- Assist with compliance training and education related to ACU-Serve’s corporate compliance requirements and initiatives
- Communicate audit findings and regulatory updates in a clear, actionable manner
- Prepare audit summaries, compliance reports, and tracking logs
- Support responses to HITRUST audits, customer compliance issues, and compliance-related documentation requests
- Maintain accurate and organized compliance records
Requirements:
- Bachelor’s degree in Healthcare Administration, Compliance, Business, or a related field, or equivalent relevant experience
- 2+ years of relevant experience in healthcare billing, compliance, auditing, or revenue cycle management
- Knowledge of Medicare, Medicaid, and commercial payer billing requirements
- Ability to work independently in a remote environment and manage competing priorities
- Strong attention to detail and analytical skills
- Experience in a third-party billing or revenue cycle management organization
- Hands-on experience with DME and/or Home Infusion billing
- Exposure to OCR audits, HITRUST certification requirements, or compliance investigations
- Clear written and verbal communication skills
- Strong organizational and time management abilities
- Problem-solving and critical-thinking skills
- High ethical standards and commitment to confidentiality
- Proficiency with billing platforms, EHRs, and Microsoft Office (Excel required)
Benefits:
- Professional certifications such as CHC, CHPC, CPC, CCS, or similar
- Familiarity with HIPAA privacy and security requirements in a remote work setting
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