Billing Compliance Auditor & Data Analyst
About the role
The company is a U.S. healthcare organization looking for a senior data professional to join its Corporate Compliance team. This is a newly created role: you will turn a largely manual billing audit process into the data, tools and reports that show compliance performance over time, working closely with auditors and leadership.
What you'll do
Build, from the ground up, data collection tools, Excel models and dashboards that track billing audit findings, error rates and trends.
Consolidate audit results and present clear reports and insights to programs, executive leadership and compliance committees.
Apply statistical sampling and data quality checks to audit findings.
Work with the Finance and Data Analytics teams to integrate their data warehouses with the compliance team's work.
Review billing documentation and support audits and investigations when needed.
Research healthcare regulations and use AI tools (e.g., Claude, ChatGPT, Copilot) to support analysis and process building.
What we're looking for
Senior experience (around 6+ years) in data analysis and reporting, including building tools and processes from scratch.
Advanced Excel and hands-on experience with Power BI or a similar BI tool.
Fluent English, with the ability to present findings to U.S. executives.
Autonomy to work without close supervision, and the ability to explain data to non-technical audiences.
Nice to have
Experience in healthcare, especially billing, claims, revenue cycle or compliance audits.
Familiarity with U.S. healthcare regulations (Medicaid, CMS, HIPAA).
Experience with EHR systems and with reviewing narrative or clinical documentation.
Details
100% remote, full-time, 35 hours per week.
Monday to Friday, 9:00 AM to 5:00 PM U.S. Eastern Time.
- Department
- Other
- Locations
- México, Colômbia, Peru
- Remote status
- Fully Remote
About Combine Global Recruitment
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