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.
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
Location: Pleasant Hill,
Apply for this job now.