Payment Compliance Analyst

Job Summary

A company is looking for a Payment Compliance Analyst, responsible for maximizing reimbursement through contract analysis and compliance management.

Key Responsibilities

• Analyze contract reimbursement to identify variances, trends, and revenue leakage
• Manage underpayment appeals and collaborate with payers and internal teams to resolve discrepancies
• Compile and present data on payment trends, making recommendations for revenue cycle improvements

Required Qualifications

• H.S. Diploma or GED required; Associate Degree or higher preferred
• 2-4 years of experience in revenue cycle management, contract compliance, or healthcare reimbursement analysis required
• Strong understanding of managed care and government contracts
• Knowledge of medical coding systems and reimbursement structures
• Proficiency in data analysis and reporting tools