Saint Francis Health System

Join Team Pink. We are Saint Francis STRONG!

Billing Compliance Analyst

ComplianceComplianceFull TimeRemoteTeam 10,001+Since 1960H1B SponsorCompany SiteLinkedIn

Location

Oklahoma

Posted

5 days ago

Salary

Not specified

High School3 yrs expEnglish

Job Description

• Supports the health system’s compliance efforts by performing audits, data analysis, and monitoring activities to ensure accurate billing, charging, and coding practices. • Works closely with billing teams, coding teams, compliance leadership, and clinical departments to promote adherence to federal, state, and commercial payer regulations. • Plays a key role in assisting in training initiatives, creating prevention action plans, developing reports, identifying risk areas, and supporting investigations. • Conducts audits and reviews of inpatient, outpatient, and professional billing, charging, and coding practices to ensure compliance with applicable laws, regulations, and internal policies. • Analyzes audit results, identifies trends and risk areas, assists in prevention plans, and assists in preparing summaries and reports for senior leadership. • Supports the implementation and tracking of corrective and prevention action plans in response to audit findings. • Participates in investigations of suspected non-compliant billing practices by performing data reviews, chart audits, and charging analysis. • Collaborates with other departments to support audit processes and ensure resolution of findings.

Job Requirements

  • Minimum 3 years of Healthcare Billing, Coding, or Compliance.
  • Knowledge of 10th Revision of the International Classification of Diseases (ICD-10-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding Systems (HCPCS).
  • Familiarity with Center for Medicare and Medicaid Services (CMS) billing regulations and payer-specific policies.
  • Basic knowledge of electronic health record (EHR) systems.
  • Certified Healthcare Compliance (CHC) from the Healthcare Compliance Association (HCCA), preferred.
  • Strong analytical skills with attention to detail and accuracy.
  • Excellent communication skills, both written and verbal that present clear and concise information.

Benefits

  • We are the largest private employer in Eastern Oklahoma with over 12,000 employees, including 1,000 physicians.
  • The health system is anchored by the 1,112-bed Saint Francis Hospital, the largest hospital in Oklahoma and the 11th largest in the nation.
  • Includes hospitals in south Tulsa, Muskogee and Vinita, as well as 110 Warren Clinic locations from Monkey Island to McAlester.

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