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Compliance Analyst Job in Pleasant Hill, California

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Job Title: Compliance Analyst

Employer:Cirius Group, Inc.
Required Certifications:CPC
Preferred Certifications:CPMA
Required Experience:1 to 2 years
Preferred Experience:3 to 4 years
Location: Pleasant Hill 94523, CA, US
Date Posted:9/19/2018
Compliance Analyst

For over 30 years, Cirius Group, Inc. has been dedicated to producing efficient, quality healthcare software products and services.  Cirius Group provides results-driven, revenue cycle management and improvement solutions to hospitals, clinics, labs, physicians groups, and other healthcare providers.  We offer a full spectrum of highly-efficient software tools for claims, reimbursement, remittances and denial management. 

With minimal supervision, the candidate is responsible for the development and maintenance of multiple payer specific edit packages. Candidate will report to the Director of Compliance.

Responsibilities include but are not limited to:

• Development, testing and deployment of standard edit packages.

• Works closely with clients informing them of current billing regulations/changes.

• Assists as requested with staff development and team building.

• Identifies trends and opportunities for additional training, education and improvement.

• Keeps abreast of all current billing and coding rules and regulations affecting both government and non-government payers.

• Some travel to client sites for onsite compliance reviews.


Education and Experience

• Coding certification (CPC or CPMA) preferred from a nationally recognized professional association (AAPC, AHIMA).

• High school diploma or GED equivalent required. Bachelor’s degree preferred.

• Proven knowledge of CPT-4, HCPCS, ICD-9 & ICD-10 coding required

• Knowledge of UB04 and 1500 claim forms

• Knowledge of Medicare, Medi-Cal, Out of State Medicaid(s), Commercial, and Managed Care insurance guidelines preferred.


• Excellent organizational skills, thorough follow through and the ability to work independently with minimal supervision and maintain confidentiality in all activities.

• Excellent computer skills, including MS Excel, Word, and PowerPoint.

• Excellent written and verbal communication skills.

• Works with multiple software applications, including word processing, database management, spreadsheets, graphics and presentation software, electronic calendar and email.

• Accessing State and Federal websites for coding and billing regulations.

• Ability to troubleshoot, identify problem areas, develop and implement solutions.



To apply for this position, please email Erin Fernandez at erinf@ciriusgroup.com.  Please include "Compliance Analyst" in the subject line.

**Note - this is not a remote position.

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