[Remote] Revenue Cycle Compliance Analyst

Note: The job is a remote job and is open to candidates in USA. Altru Health System is dedicated to providing exceptional care and support to its community. The Revenue Cycle Compliance Analyst is responsible for monitoring and auditing revenue cycle operations to ensure compliance with regulations and organizational policies, while supporting billing integrity and revenue optimization through data analysis and collaboration with operational departments.ResponsibilitiesMonitors revenue cycle processes to ensure compliance with CMS, Medicare, Medicaid, and commercial payer regulationsSupports the annual external audit and performs periodic ongoing audits of billing, charging, coding, and documentation practices to identify compliance risks and potential revenue leakageReviews service line billing workflows for adherence to regulatory and organizational policiesAnalyzes claim denials, RTPs, and payer edits to identify trends and recommend corrective actionsAssists with compliance related to Price Transparency, Good Faith Estimates, and No Surprises Act requirementsCollaborates with coding, billing, HIM, finance, and clinical departments to resolve billing compliance issuesInterprets and researches regulatory updates, payer guidelines, and reimbursement changes impacting revenue cycle operationsPrepares audit findings, compliance reports, and recommendations for leadership and operational teamsSupports education and training efforts for staff related to billing compliance, documentation standards, and regulatory requirementsPerforms other duties as assigned or needed to meet the needs of the department/organizationSkillsA minimum of 5 years Related ExperienceProficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team membersBachelors - Related FieldBenefitsHealth plan401(k) retirement planDental planVision planLife and disability insuranceEducation assistancePaid time off (PTO)Company OverviewAltru Health System is an integrated healthcare system that provides services through an acute care hospital and a large home care network. It was founded in 1997, and is headquartered in Grand Forks, North Dakota, USA, with a workforce of 1001-5000 employees. Its website is https://www.altru.org/.