- Company Name
- UNC Health
- Job Title
- Compliance Analyst Senior - Rex Professional Compliance
- Job Description
-
**Job Title:** Senior Compliance Analyst
**Role Summary:** Lead compliance monitoring and audit activities to ensure adherence to regulatory frameworks, internal policies, and coding standards. Serve as a compliance expert for healthcare operations, identifying risks and enhancing compliance practices. May supervise compliance staff.
**Expectations:**
- Stay current on evolving regulations, policies, and coding guidelines.
- Analyze operational weaknesses, research root causes, and develop recommendations for compliance improvement.
- Prepare and execute audit plans, perform coding/billing audits, and report findings for corrective action.
- Facilitate compliance training, resolve process barriers, and manage departmental investigations.
- Participate in special projects and cross-functional initiatives as required.
**Key Responsibilities:**
1. Conduct compliance audits, coding reviews, and risk assessments.
2. Provide expert guidance to physicians, coders, and reimbursement analysts on compliance and billing standards.
3. Investigate compliance issues, analyze data, and document findings for corrective action.
4. Collaborate with stakeholders to update policies, procedures, and audit tools.
5. Deliver training on coding, documentation, billing, and regulatory requirements.
6. Manage compliance special projects and supervise staff if applicable.
**Required Skills:**
- Expertise in healthcare compliance, coding (CPT/ICD), and CMS regulations.
- Audit analysis, risk assessment, and data interpretation.
- Strong communication, facilitation, and problem-solving.
- Proficiency in Epic, E/M documentation, and charge capture methodologies.
- Training and stakeholder collaboration capabilities.
**Required Education & Certifications:**
- Bachelor’s degree in Accounting, Business Administration, Health Administration, Nursing, or related field (or equivalent experience).
- Coding certification (e.g., CPC, CCS-P).
- Experience: 3 years (Bachelor’s), 7 years (Associate’s), or 11 years (High School/GED) in healthcare compliance, coding, revenue cycle, or regulatory compliance roles.
Knightdale, United states
On site
Senior
29-10-2025