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DATE ADDED: Thu 27/09/2018

Healthcare Compliance Analyst

Pleasant Hill, USA


Job Description


Compliance Analyst

We are seeking a Healthcare Compliance Analyst to join our team. You will be responsible for the development and maintenance of multiple payer specific edit packages.


  • Development, testing, and deployment of standard edit packages.

  • Works closely with clients informing them of current billing regulations/changes.

  • Identifies trends and opportunities for additional training, education and improvement.

  • Keeps abreast of all current billing and coding rules and regulations affecting both government and non-government payers.

  • Some travel to client sites for onsite compliance reviews.


  • Coding certification (CPC or CPMA) preferred from a nationally recognized professional association (AAPC, AHIMA).

  • Bachelor’s degree or comparable education/experience.

  • Proven knowledge of CPT-4, HCPCS, ICD-9 & ICD-10 coding required.

  • Knowledge of UB04 and 1500 claim forms.

  • Knowledge of Medicare, Medi-Cal, Out of State Medicaid(s), Commercial, and Managed Care insurance guidelines preferred.


  • Excellent organizational skills, thorough follow through and the ability to work independently with minimal supervision and maintain confidentiality in all activities.

  • Excellent computer skills, including MS Excel, Word, and PowerPoint.

  • Excellent written and verbal communication skills.

  • Works with multiple software applications, including word processing, database management, spreadsheets, graphics and presentation software, electronic calendar and email.

  • Knowledge accessing state and federal websites for coding and billing regulations.

  • Ability to troubleshoot, identify problem areas, develop and implement solutions.

About Cirius Group, Inc.

The Cirius Group, Inc. is a software developer dedicated to producing efficient, quality, healthcare products and services. Cirius Group produces results-driven, revenue cycle management and improvement solutions to hospitals, clinics, labs, physicians groups, and other healthcare providers. We provide a full spectrum of highly-efficient software tools for claims, reimbursement, remittances, and denial management.

This position will require a background check due to the HIPAA security policy.

This position requires the candidate to work in our Pleasant Hill, CA office.



Role: Healthcare Compliance Analyst
Job Type:
Location: Pleasant Hill,

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