Compliance Analyst

ACU-Serve Corp Remote, US,
Remote

About The Position

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.

Requirements

  • 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.
  • 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)

Nice To Haves

  • 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.

Responsibilities

  • 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.
  • 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.
  • 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.
  • 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.
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