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
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

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
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
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)

Professional certifications such as CHC, CHPC, CPC, CCS, or similar
Familiarity with HIPAA privacy and security requirements in a remote work setting

Compliance Analyst

Key skills