Job Description

Responsibilities of this direct hire Compliance Analyst position include:

• Create and implement policies and procedures that promote compliance across the revenue cycle.
• Ensure accurate and compliant coding and documentation practices across internal departments and external partners.
• Track and evaluate key performance indicators to identify trends and areas for improvement.
• Lead audit processes, manage vendor relationships, and drive corrective action initiatives.
• Support accurate HCC coding and related reporting functions.
• Partner with IT to streamline workflows and introduce automation that enhances efficiency and accuracy.
• Manage coding-related claim denials and issues tied to medical necessity.
• Provide expertise with coding, charge capture, and documentation standards.
• Deliver training and educational sessions to clinical and administrative staff on compliance and documentation best practices.

Minimum requirements:

• Demonstrated ability to uphold compliance with revenue cycle regulations and industry standards.
• 5+ years of hands-on experience in medical coding and billing, including CPT-4, HCPCS, and HCC methodologies.
• Proficiency with various EHR and billing platforms; experience with NextGen PM is highly desirable.
• Preferred certifications include RHIT, RHIA, CRC, CCS, or CPC.
• Strong analytical capabilities with a proven ability to interpret and act on performance data.
• Excellent interpersonal and communication skills, with a collaborative approach to cross-functional teamwork.
• Excellent communication and collaboration skills across departments and with external partners.

Benefit offerings include competitive salary with excellent benefits; medical, dental, vision, life insurance, FSA, and 401K plan with employer match. Program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available Paid Time Off, Extended Sick Leave, and Paid Holidays. Employee Discounts and Wellness Programs

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit

Job Tags

Similar Jobs