The Compliance Analyst supports ACU-Serve’s compliance program by helping ensure DME and Home Infusion billing services adhere to federal, state, and payer regulations.
This remote role partners with Billing, IT/Coding, and Operations teams to identify compliance risks, perform audits, and support accurate, compliant billing practices.
The ideal candidate has hands-on experience in healthcare billing compliance or revenue cycle management and is comfortable working independently in a remote environment.
Key Responsibilities:
Regulatory & Compliance Support –
- Monitor compliance with applicable laws and regulations, including CMS, Medicare, Medicaid, HIPAA, OIG guidance, and payer-specific billing requirements for DME and Home Infusion.
- Track regulatory and payer updates and assist with updating internal policies, procedures, and guidance.
- Collaborate with billing and coding teams to resolve compliance-related issues.
- Serve as a member of the compliance team and participate as a resource for the billing and operations teams.
Auditing & Monitoring –
- Perform routine and focused compliance audits of third-party vendors, documentation, and internal operations workflows.
- Identify trends, risks, and compliance gaps and assist in developing corrective action plans.
- Track and validate remediation efforts to ensure ongoing compliance.
Education & Communication –
- Assist with compliance training and education related to ACU-Serve’s corporate compliance requirements and initiatives.
- Communicate audit findings and regulatory updates in a clear, actionable manner.
Reporting & Audit Support –
- Prepare audit summaries, compliance reports, and tracking logs.
- Support responses to HITRUST audits, customer compliance issues, and compliance-related documentation requests.
- Maintain accurate and organized compliance records.
Qualifications & Experience:
Required –
- Bachelor’s degree in Healthcare Administration, Compliance, Business, or a related field, or equivalent relevant experience.
- 2+ years of relevant experience in healthcare billing, compliance, auditing, or revenue cycle management.
- Knowledge of Medicare, Medicaid, and commercial payer billing requirements.
- Ability to work independently in a remote environment and manage competing priorities.
- Strong attention to detail and analytical skills.
Preferred –
- Experience in a third-party billing or revenue cycle management organization.
- Hands-on experience with DME and/or Home Infusion billing.
- Exposure to OCR audits, HITRUST certification requirements, or compliance investigations.
- Professional certifications such as CHC, CHPC, CPC, CCS, or similar.
- Familiarity with HIPAA privacy and security requirements in a remote work setting.
Skills & Competencies:
- Clear written and verbal communication skills
- Strong organizational and time management abilities
- Problem-solving and critical-thinking skills
- High ethical standards and commitment to confidentiality
- Proficiency with billing platforms, EHRs, and Microsoft Office (Excel required)
Physical Effort:
Work time will be spent sitting approximately 80% of the time, standing and walking approximately 20% of the time. PC Keyboarding will constitute approximately 80% of work time. Travel required.
