Revenue Cycle Compliance Analyst

Revenue Cycle Compliance Analyst

Everything we do is underscored by a why — and that why is one another.

Location: Altru Health System PO Box 6002 Grand Forks, ND 58201 Pay Range: $57,824.00 - $86,756.80

Summary:

The Revenue Cycle Compliance Analyst is responsible for monitoring and auditing revenue cycle operations to ensure compliance with federal and state regulations, payer requirements, and organizational policies. This role supports billing integrity, regulatory compliance and revenue optimization through data analysis, auditing, and collaboration with operational departments. The analyst also assists with initiatives related to price transparency, documentation compliance, denial prevention, and revenue integrity improvements.

Essential Job Functions:

• Monitors revenue cycle processes to ensure compliance with CMS, Medicare, Medicaid, and commercial payer regulations.
• Supports the annual external audit and performs periodic ongoing audits of billing, charging, coding, and documentation practices to identify compliance risks and potential revenue leakage.
• Reviews service line billing workflows for adherence to regulatory and organizational policies.
• Analyzes claim denials, RTPs, and payer edits to identify trends and recommend corrective actions.
• Assists with compliance related to Price Transparency, Good Faith Estimates, and No Surprises Act requirements.
• Collaborates with coding, billing, HIM, finance, and clinical departments to resolve billing compliance issues.
• Interprets and researches regulatory updates, payer guidelines, and reimbursement changes impacting revenue cycle operations.
• Prepares audit findings, compliance reports, and recommendations for leadership and operational teams.
• Supports education and training efforts for staff related to billing compliance, documentation standards, and regulatory requirements.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Education:

• Preferred: Bachelors - Related Field

Work Experience:

• Required: A minimum of 5 years Related Experience

Language Requirements:

This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Physical Demands :

• Sit: Frequently (34-66%)• Stand: Occasionally (5-33%)• Walk: Occasionally (5-33%)• Stoop/Bend: Rarely (1-4%)• Reach: Frequently (34-66%)• Crawl: Not Applicable• Squat/Crouch/Kneel: Rarely (1-4%)• Twist: Occasionally (5-33%)• Handle/Finger/Feel: Continuously (67-100%)• See: Continuously (67-100%)• Hear: Continuously (67-100%)

Weight Demands:

• Lift -Floor to Waist Level: Sedentary (<10 pounds)• Carry: Sedentary (<10 pounds)• Push/Pull: Sedentary (<10 pounds)• Slide/Transfer: Not Applicable

Working Conditions:

• Indoor: Continuously (67-100%)• Outdoor: Not Applicable• Extreme Temperature: Not Applicable

Driving Requirement Definitions:

• Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
• Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
• Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
• Infrequent Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position:

Infrequent Driver Reference ID: R7778

Making a real difference. For one another.

To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.

At Altru, you'll find a culture where support and teamwork are at the heart of what we do. You'll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.

Join our team and be a part of a small community with a big heart.

Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)