Senior Billing Compliance Analyst — Epic Billing Expert

Saint Francis Health System; United States; Remote; USD 85,000 - 120,000; Full time

Job summary

Saint Francis Health System is seeking a Senior Billing Compliance Analyst to lead advanced audits, data analytics, and strategic prevention efforts across billing and coding practices. This role partners with operations, coding teams, revenue cycle, and clinical departments to strengthen compliant billing systems.

Ideal candidates bring 5+ years of healthcare billing experience, CHC preferred, and deep knowledge of ICD-10-CM, CPT, HCPCS, CMS guidelines, and Epic systems.

Qualifications

• Minimum 5 years of experience in Healthcare Billing, Coding, or Compliance.
• Bachelor’s degree preferred in Business, Healthcare Administration, or Health Information Management.
• Certified Healthcare Compliance (CHC) from HCCA, preferred.
• Strong data analysis and auditing capabilities.
• Advanced knowledge of ICD-10-CM, CPT, HCPCS and CMS guidelines.

Responsibilities

• Conducts hospital and professional billing compliance audits, reviews, projects and investigations.
• Prepares written reports that are clear, accurate and professional.
• Identifies significant issues within audit scope, ensuring billing compliance with statutes and regulations.
• Develops ongoing billing compliance training and awareness initiatives.
• Monitors regulatory changes and updates policies and procedures accordingly.
• Collaborates with leadership across departments to improve compliance practices.

Skills

ICD-10-CM

CPT

HCPCS

CMS guidelines

OIG work plan

Epic

Data analysis

Communication

Leadership

Education

High school diploma or GED

Bachelor’s degree in Business or Healthcare Admin or HIM

Tools

Microsoft 365

Job description

Saint Francis Health System is seeking a Senior Billing Compliance Analyst to lead advanced audits, data analytics, and strategic prevention efforts across billing and coding practices. This role partners with operations, coding teams, revenue cycle, and clinical departments to strengthen compliant billing systems.

Ideal candidates bring 5+ years of healthcare billing experience, CHC preferred, and deep knowledge of ICD-10-CM, CPT, HCPCS, CMS guidelines, and Epic systems.