Healthcare Compliance & Policy Analyst — Hybrid

Accendra Health, Inc.; Downers Grove (IL); Hybrid; USD 33,000 - 36,000; Full time

Job summary

Accendra Health, Inc. in Downers Grove, IL is seeking a Compliance & Policy Analyst to support preparation and submission of documents for Medicare, Medicaid, and private insurance audits.

You will help develop and implement compliance programs and monitor activities to ensure adherence to applicable regulations. The role involves updating manuals, responding to regulators, organizing audit materials, training staff on reimbursement policies, and supporting system updates for payor guidelines.

Responsibilities

• Assists in the development and implementation of compliance programs for the organization.
• Monitors business activities for compliance with applicable rules and regulations.
• Ensures operating manuals and procedural documents stay current when regulations change.
• Responds to inquiries from regulatory agencies and completes required compliance documentation.
• Responsible for obtaining, organizing, reviewing and analyzing all documents required for external and internal audits; including Medicare, Medicaid and private insurance.
• Responsible for reviewing audit documentation for any reimbursement issues as directed by manager.
• Assists with creation of training materials for payors affiliated with assigned area(s) of responsibility as required
• Provides training and support as required to ensure all involved staff are properly trained on reimbursement compliance policies and audit procedures.
• Assists in researching policies and coordination of updates to the applicable electronic systems related to all state welfare programs affiliated with assigned area(s) of responsibility.
• Assists with system updates, and changes as required to implement new payor guidelines or Apria policies and procedures, as requested.
• Communicates and reinforces company policies and procedures.
• Ensures compliance to company policies and procedures for all product lines. This includes federal, state, and local regulations.
• Performs other related duties as directed by manager.

Job description

Accendra Health, Inc. in Downers Grove, IL is seeking a Compliance & Policy Analyst to support preparation and submission of documents for Medicare, Medicaid, and private insurance audits.

You will help develop and implement compliance programs and monitor activities to ensure adherence to applicable regulations. The role involves updating manuals, responding to regulators, organizing audit materials, training staff on reimbursement policies, and supporting system updates for payor guidelines.