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.
Responsibilities
- Monitors revenue cycle processes to ensure compliance with CMS, Medicare, Medicaid, and commercial payer regulations
- Supports the annual external audit and performs periodic ongoing audits of billing, charging, coding, and documentation practices to identify compliance risks and potential revenue leakage
- Reviews service line billing workflows for adherence to regulatory and organizational policies
- Analyzes claim denials, RTPs, and payer edits to identify trends and recommend corrective actions
- Assists with compliance related to Price Transparency, Good Faith Estimates, and No Surprises Act requirements
- Collaborates with coding, billing, HIM, finance, and clinical departments to resolve billing compliance issues
- Interprets and researches regulatory updates, payer guidelines, and reimbursement changes impacting revenue cycle operations
- Prepares audit findings, compliance reports, and recommendations for leadership and operational teams
- Supports education and training efforts for staff related to billing compliance, documentation standards, and regulatory requirements
- Performs other duties as assigned or needed to meet the needs of the department/organization
Skills
- A minimum of 5 years Related Experience
- Proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members
- Bachelors - Related Field
Benefits
- Health plan
- 401(k) retirement plan
- Dental plan
- Vision plan
- Life and disability insurance
- Education assistance
- Paid time off (PTO)
Company Overview
Altru 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/.