Medicare Compliance Business Analyst

Job Summary

A company is looking for a Business Analyst - Medicare Compliance.

Key Responsibilities

• Serve as the primary point of contact for Medicare regulatory updates and audit readiness
• Conduct internal audits and reviews of claims, documentation, and billing practices to ensure compliance with Medicare requirements
• Collaborate with internal audit and legal teams to address findings and implement corrective actions

Required Qualifications

• 5+ years of experience in healthcare revenue cycle management, with at least 2 years focused on Medicare compliance
• Experience with audit processes, denial management, and regulatory reporting
• Demonstrated solid knowledge of Medicare billing rules, NCDs/LCDs, and infusion therapy coding
• Proven ability to work independently and manage multiple priorities in a fast-paced environment