Revenue Cycle Compliance Consultant: Regulatory and Audit

Park Nicollet Health Services; Minnesota; On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Retirement program

Time away from work

Tuition reimbursement

Employee assistance program

Job summary

Park Nicollet Health Services is seeking a Revenue Cycle Regulatory and Compliance Consultant to manage system-wide regulatory and payor requirements and ensure compliant billing practices across the revenue cycle.

The role involves auditing, data interpretation, cross-department collaboration, and staying current with CMS and payer regulations to mitigate risk and support efficient operations within MN/WI variations.

Qualifications

• Bachelor’s degree required; 3+ years in healthcare revenue cycle or regulated processes.
• Demonstrated ability to interpret CMS, payer rules, and state/federal regulations.

Responsibilities

• Manage and coordinate system-wide regulatory and payor requirements for compliant billing practices.
• Perform regular internal audits to ensure compliant billing and reporting; track projects and regulatory filings.

Skills

Excel

Microsoft 365

Analytical thinking

Communication skills

Cross-department collaboration

Education

Bachelor’s degree

Master’s degree

CRCR Certification

Tools

Regulatory guidelines knowledge

Job description

Park Nicollet Health Services is seeking a Revenue Cycle Regulatory and Compliance Consultant to manage system-wide regulatory and payor requirements and ensure compliant billing practices across the revenue cycle.

The role involves auditing, data interpretation, cross-department collaboration, and staying current with CMS and payer regulations to mitigate risk and support efficient operations within MN/WI variations.