BILLING & CODING COMPLIANCE ANALYST

Premier System Support

110 N MAIN ST DAYTON, OH 45402

DEPT: CORPORATE COMPLIANCE

Full-Time / Day Shift

Description

Are you a college graduate with healthcare experience and a certification such as RHIA, RHIT, CPC, CCS, CCS-P, or CPB? Join Premier Health as a Professional Billing and Coding Compliance Analyst. In this role, you will support the Corporate Compliance Program through auditing, monitoring, education, and investigative activities, ensuring adherence to regulations, policies, and standards. Showcase your professionalism, integrity, and commitment to Premier Health's mission and values while promoting a culture of safety and excellence.

• Coordinate auditing and monitoring activities
• Perform professional fee billing and coding audits
• Conduct employee training
• Research regulatory guidelines
• Generate reports
• Collaborate with team members
• Identify compliance improvement opportunities
• Participate in committees and workgroups
• Ensure compliance with laws and policies

Note: Hybrid work environment

Qualifications/ Requirements:

• Bachelor's degree in Health Information Management, Business, or related field
• Years of experience will be considered in lieu of formal education
• Certification in RHIA, RHIT, CPC, CCS, CCS-P, or CPB required
• 1-3 years of job-related experience
• Knowledge of EPIC, professional billing and coding, auditing principles, and Microsoft Office applications
• Strong interpersonal skills and problem-solving abilities

If you are ready to contribute to a dynamic healthcare organization, apply now to join Premier Health as a Professional Billing and Coding Compliance Analyst. Make a difference in healthcare compliance and be part of a team dedicated to excellence and integrity.

Definitions:

RHIA - Registered Health Information Administrator A credential from AHIMA for professionals who manage health information systems, ensure data integrity, oversee compliance with privacy laws, and often hold leadership roles in HIM departments

RHIT - Registered Health Information Technician An AHIMA credential for professionals who specialize in managing and analyzing medical records, ensuring data quality, and supporting coding and reimbursement processes. (Supported by AHIMA credential listings in search results.)

CPC - Certified Professional Coder An AAPC certification focused on outpatient medical coding using CPT, ICD-10-CM, and HCPCS Level II. It is one of the most widely recognized coding credentials in physician and clinic settings.

CCS - Certified Coding Specialist An AHIMA credential for advanced-level coders skilled in inpatient and outpatient coding, data quality, and DRG assignment. Considered one of the most rigorous coding certifications.

CCS-P - Certified Coding Specialist-Physician-based An AHIMA credential similar to CCS but focused specifically on physician services and outpatient coding.

CPB - Certified Professional Biller An AAPC certification for professionals specializing in medical billing, claims management, reimbursement, and payer compliance.