Senior Compliance Associate - Hospital Billing
Core
Senior Compliance Associate supporting hospital billing operations, regulatory adherence, and internal investigations for inpatient services.
Role type
Senior IC healthcare compliance associate (billing focus)
Builds
Compliance programs, audit responses, and corrective action plans for hospital billing and inpatient services
Domain
Healthcare / Hospital Billing / Regulatory Compliance
Deliverable
dashboards & analysis
Required skills
Healthcare compliance, hospital billing, regulatory analysis, investigation management, policy development, risk assessment, coding compliance, documentation review, stakeholder communication
Preferred skills
Clinical auditing, utilization review, medical necessity review, Epic system proficiency, MDAudit proficiency, healthcare law interpretation
Technologies
Epic, MDAudit, Microsoft Office (Word, Excel, PowerPoint, Access)
Responsibilities
Respond to billing compliance inquiries and triage matters; conduct compliance investigations regarding hospital billing; lead compliance reviews for billing accuracy and coding; coordinate regulatory inquiries and audits with agencies like CMS and OIG; monitor healthcare compliance risks; maintain compliance policies and procedures; develop department metrics for regulatory adherence
Seniority
Senior, hands-on IC
