Bronson Healthcare · 1 month ago
Healthcare Compliance Analyst **ON SITE POSITION**
Bronson Healthcare Group
Full-time
Onsite
Entry, Mid Level
2+ years expBronson Healthcare is a compassionate organization seeking a Healthcare Compliance Analyst. The role involves overseeing regulatory compliance for physicians and hospital departments, implementing compliance initiatives, and ensuring adherence to billing procedures.
Health CareHospitalMedicalNon ProfitPrimary and Urgent Care
Responsibilities
Coordinates implementation, monitoring and enforcement of compliance initiatives for Bronson-employed physicians and hospital departments, to comply with applicable laws as they relate to billing procedures and requirements
Reviews the billing, documentation and coding practices of all BHG employed physicians as part of the Corporate Compliance Program and make the necessary changes to ensure the bills are compliant and to minimize the exposure to monetary penalties
Reviews the billing, documentation and coding practices for all Bronson Healthcare Group facility departments as part of the Corporate Compliance Program and make the necessary changes to ensure the bills are compliant and to minimize the exposure to monetary penalties
Responds to questions, issues and reports of potential issues in coordination with compliance officer
Independently assesses critiques and makes authoritative recommendations for revisions to physician’s and hospital coding and documentation techniques and policies. Monitors such on an ongoing basis and ensures that approved recommendations are implemented
Assists with training and education related to corporate compliance to physicians and hospital departments
Interacts frequently with the Corporate Compliance Officer and is an active member of the Billing Compliance Committee
Participates in yearly OIG Audit Plan by auditing and reviewing any Bronson Healthcare Group risk factors
As requested, participates with any third party (MPRO, BlueShield/BlueCross, Medicare, Medicaid) audit for the hospital or hospital employed physicians
Qualification
Required
Bachelor's degree or equivalent combination of education and experience and 2-3 years of extensive coding experience required
Extensive coding background in healthcare is needed
Strong analytical skills required to monitor and direct regulatory monitoring
Must have proven organizational and planning skills as well as the ability to handle multiple tasks simultaneously
Requires excellent communication skills and a positive customer relation's orientation
Effective interpersonal skills required to interface between medical staff, managers and Directors, internal billing and administrative staffs or external vendors and to initiate corrective action, as necessary
Effective public speaking skills and the ability to articulate complex regulatory information in understandable, layman's terms is necessary
Work which produces very high levels of mental/visual fatigue, e.g. CRT work between 70 and 90 percent of the time, and work involving extremely close tolerances and considerable hand/eye coordination for sustained periods of time
The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects
Coordinates implementation, monitoring and enforcement of compliance initiatives for Bronson-employed physicians and hospital departments, to comply with applicable laws as they relate to billing procedures and requirements
Reviews the billing, documentation and coding practices of all BHG employed physicians as part of the Corporate Compliance Program and make the necessary changes to ensure the bills are compliant and to minimize the exposure to monetary penalties
Reviews the billing, documentation and coding practices for all Bronson Healthcare Group facility departments as part of the Corporate Compliance Program and make the necessary changes to ensure the bills are compliant and to minimize the exposure to monetary penalties
Responds to questions, issues and reports of potential issues in coordination with compliance officer
Independently assesses critiques and makes authoritative recommendations for revisions to physician's and hospital coding and documentation techniques and policies. Monitors such on an ongoing basis and ensures that approved recommendations are implemented
Assists with training and education related to corporate compliance to physicians and hospital departments
Interacts frequently with the Corporate Compliance Officer and is an active member of the Billing Compliance Committee
Participates in yearly OIG Audit Plan by auditing and reviewing any Bronson Healthcare Group risk factors
As requested, participates with any third party (MPRO, BlueShield/BlueCross, Medicare, Medicaid) audit for the hospital or hospital employed physicians
Preferred
Clinic background preferred
Certification as a Certified Professional Coder (CPC) OR Registered Health Information Technician (RHIT) preferred or must obtain within 6 months of hire
Company
Bronson Healthcare
Bronson Healthcare is a not-for-profit, group healthcare organization that provides services ranging from primary care and emergency care.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Bill Manns
President & Chief Executive Officer
Recent News
2025-10-27
2025-10-20
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