UNC Health · 10 hours ago
HCS Compliance Analyst
Triangle Area
Full-time
Hybrid
Entry, Mid Level
$31.04/hr - $44.62/hr
2+ years expUNC Health is an inclusive organization dedicated to improving the health and well-being of the communities it serves. The HCS Compliance Analyst will support various departments within the Compliance Program, focusing on audits, monitoring risks, and ensuring compliance with regulations while managing financial assistance programs for patients in need.
Addiction TreatmentHealth CareHealth DiagnosticsHospitalNon ProfitWellness
Responsibilities
Auditing and Monitoring: Assists in conducting the annual systemwide Compliance Program risk assessment and in preparing the audit and monitoring work plan for each fiscal year. Completes individual audit and monitoring projects outlined in the Compliance Program work plan. Collaborates with teammates from across UNC Health in order to complete individual projects. Obtains and analyzes patient and business specific data in order to evaluate specific risk areas under review. Performs data collection and analysis. Makes recommendations for performance improvement consistent with applicable policies and legal/regulatory requirements. Analyzes audit findings and reports/tracks results for one-on-one or group feedback. Provides one-on-one or group education. Documents findings in accordance with department standards, communicates findings as directed by leadership, and provides an analysis of findings with recommendations. Application Review and Case Management: Review and assess applications for financial assistance to ensure accuracy and compliance with policy and regulatory requirements. Maintain accurate records of fund activity and guide patients through the financial assistance process
Investigations: Supports investigations of actual or potential violations of relevant laws, regulations, and/or UNC Health policies. Conducts EthicsPoint investigations as assigned by Compliance Program leadership. Documents findings in accordance with department standards, communicates findings as directed by leadership, and provides an analysis of findings with recommendations. Works with operational and clinical leaders to implement corrective action plans
Research and Analysis: Maintains current and up-to-date understanding of relevant laws, regulations, policies, procedures, standards, and CMS guidance. Identifies and analyzes areas of weakness within the Patient Assistance Fund program and formulates recommendations that enhance operations and compliance. Prepare compressive reports on fund allocation and program effectiveness
Building Relationships: Develops productive working relationships with UNC Health teammates and external stakeholders. Communicates openly and effectively with UNC Health teammates and external stakeholders. Identifies barriers to completing Compliance Program objectives and develops strategies for resolving those challenges. Serves as a resource to physicians, coders, reimbursement analysts, and other teammates. Responds to inquiries about standards and best practices for coding, billing, documentation, and other risk areas
Professional Development: Basic to intermediate understanding of healthcare reimbursement, health system operations, medical staff standards, coding, billing, and documentation, along with experience using electronic health records. Intermediate presentation skills. Ability to translate policy language, billing, and regulatory information and knowledge to non-technical users. Intermediate organizational skills with the ability to manage multiple projects and multiple deadlines in a positive manner. Intermediate proficiency with software applications such as Microsoft 365 with the ability to use graphs, spreadsheets, pivot tables, formulas, Visio flow charts, dashboards, and other analytic tools. Intermediate proficiency with applications required for area of expertise, data extraction, and data analysis. Intermediate data analysis and critical thinking skills. Ability to organize, analyze and interpret data and evidence, communicate findings and make recommendations
Special Projects: Performs special projects as requested or assigned by Compliance Program leadership. Conducts and/or facilitates professional meetings where information is shared with operational departments concerning new policy changes, billing and other compliance activities or standards. Assists with the development and delivery of appropriate compliance training and education across UNC Health. Prepares policies, procedures, tip sheets, and other resources for UNC Health teammates
Qualification
Required
Associate's or Bachelor's degree in Accounting, Business Administration, Health Administration, Health Information Management, Nursing or related field
CCS , CCS-P , CPC , CPC-H , RHIA , RHIT. A coding certification (e.g., CPC, CCS-P) is required within 18 months of hire
If Bachelor's degree, then two (2) years of health care compliance, revenue cycle, nursing, or other directly related experience required
If Associate's degree, then four (4) years of health care compliance, revenue cycle, nursing, or other directly related experience required
Excellent communication skills and abilities with regard to active listening, interpreting complex information, and presenting materials
Able to clearly express thoughts and ideas and to effectively transfer knowledge to others
Must be able to interview staff to understand operational processes and areas of concern
Written communication is clear, concise and professional
Demonstrates a positive attitude and ability to work with groups of teammates
Maintains appropriate professional conduct, appearance and language
Is tactful and respectful in communication
Ability to lead others and serve as a mentor to peers
Preferred
Compliance Certification preferred
Company
UNC Health
Our mission is to improve the health and well-being of North Carolinians and others whom we serve.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Chris Ellington
President UNC Health Care - Network Hospitals and EVP CFO UNC Hospitals at Chapel Hill
Jeff Lindsay
President and Chief Operating Officer
Recent News
2025-09-12
Seattle TechFlash
2025-04-22
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