Compliance Analyst

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🕒 May 9

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ACU-Serve

WebsiteLinkedInAll Job Openings

501 - 1000 employees

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

Healthcare Insurance • Fintech • SaaS

ACU-Serve is a company that specializes in optimizing revenue cycles for healthcare providers, particularly in the HME (Home Medical Equipment) and DME (Durable Medical Equipment) sectors. They focus on increasing clean claims through strategic partnerships, innovative solutions, and advanced technology. ACU-Serve's comprehensive approach includes revenue cycle management, A/R collection services, and resupply for infusion pharmacy and complex rehabilitation services, ensuring swift and accurate payments while enhancing client education and operational efficiency.

📋 Description

• 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