Senior Billing Compliance Analyst

Job not on LinkedIn

🕒 July 17

🌪️ Oklahoma – Remote

🌪️ Oklahoma – Remote

⏰ Full Time

🟠 Senior

🚔 Compliance

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👻 Ghost score 45%

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Saint Francis Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1960

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Saint Francis Health System is a healthcare provider that offers a wide range of medical services including primary care, urgent care, emergency care, cancer care, cardiology, orthopedic care, mental health, pediatric care, and women's health. It collaborates with DispatchHealth to provide healthcare services at home. The system includes multiple hospitals such as Saint Francis Hospital, Saint Francis Children's Hospital, and Heart Hospital. The organization is committed to community health and provides various resources such as cost estimates, bill payment options, and health screenings. Saint Francis Health System also engages in recruitment and offers training programs for healthcare professionals.

📋 Description

• Provide advanced support to the health system’s billing compliance program. • Perform complex audits and lead data analytics activities. • Serve as a subject matter expert on billing, charging, and coding compliance. • Collaborate with operational leaders and compliance leadership. • Contribute to training content and advise on regulatory changes. • Identify systemic risk areas and support investigations. • Recommend process improvements that enhance compliant billing practices.

🎯 Requirements

• Must have RECENT (last 3-5 years) Epic HB or PB Billing Compliance experience. • Minimum 5 years of experience in Healthcare Billing, Coding, or Compliance. • Audit Process and Data Analysis experience, preferred. • Advanced knowledge of ICD-10-CM, CPT, and HCPCS coding systems. • Strong understanding of CMS billing guidelines, OIG work plan focus areas, and payer-specific policies. • Advanced knowledge of Epic, charge router logic, clinical workflows, and charging methodologies. • Knowledge of Microsoft 365 and other applicable software.

🏖️ Benefits

• None listed

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