Analyst, Compliance
About this role
About the Role The Analyst, Compliance at CUIMC CFO supports oversight and advancement of professional fee compliance, billing integrity, and regulatory adherence programs. As a subject matter expert in coding, billing, and reimbursement, you will ensure compliance with CMS, federal and state laws, and coding guidelines, providing guidance for audits, documentation reviews, education, risk assessments, and corrective actions. What You'll Do
- Provide ongoing risk-based coding audits for complex services across specialties, focusing on Medicare/Medicaid, medical necessity, and NCD/LCD requirements; include retrospective audits for established providers and prospective audits for newly onboarded providers to ensure documentation, coding accuracy, and billing compliance.
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