Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Medical Billing Compliance Management Revenue Management Auditing Medicaid Medicare Billing Policy Enforcement Corrective And Preventive Action (CAPA) Regulatory Compliance +8 more

Other Skills

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Microsoft Excel
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Record Keeping
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Client Confidentiality
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Non-Verbal Communication
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Ethical Standards And Conduct
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Time Management
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Teamwork
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Critical Thinking
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Organizational Skills
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Detail Oriented
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Problem Solving

Roles & Responsibilities

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

Requirements:

Monitor regulatory compliance with CMS, Medicare, Medicaid, HIPAA, OIG guidance, and payer-specific DME and Home Infusion billing requirements; track updates and assist with updating policies, procedures, and guidance
Perform routine and focused compliance audits of third-party vendors, documentation, and internal operations workflows; identify trends, risks, and gaps and assist in corrective action plans; track remediation efforts
Assist with compliance training and education related to ACU-Serve’s corporate compliance requirements; communicate audit findings and regulatory updates clearly and actionably
Prepare audit summaries, compliance reports, and tracking logs; support HITRUST audits and compliance-related documentation requests; maintain accurate and organized compliance records

Job description

The Compliance Analyst supports ACU-Serve’s compliance program by helping ensure DME and Home Infusion billing services adhere to federal, state, and payer regulations.

This remote role partners with Billing, IT/Coding, and Operations teams to identify compliance risks, perform audits, and support accurate, compliant billing practices.

The ideal candidate has hands-on experience in healthcare billing compliance or revenue cycle management and is comfortable working independently in a remote environment.

Key Responsibilities:

Regulatory & Compliance Support –

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.
Serve as a member of the compliance team and participate as a resource for the billing and operations teams.

Auditing & Monitoring –

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.

Education & Communication –

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.

Reporting & Audit Support –

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.

Qualifications & Experience:

Required –

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.

Preferred –

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.
Professional certifications such as CHC, CHPC, CPC, CCS, or similar.
Familiarity with HIPAA privacy and security requirements in a remote work setting.

Skills & Competencies:

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)

Physical Effort:

Work time will be spent sitting approximately 80% of the time, standing and walking approximately 20% of the time. PC Keyboarding will constitute approximately 80% of work time. Travel required.

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