Billing Compliance Auditor & Data Analyst

About the role
The company is a U.S. healthcare organization looking for a senior data professional to join its Corporate Compliance team. This is a newly created role: you will turn a largely manual billing audit process into the data, tools and reports that show compliance performance over time, working closely with auditors and leadership.

• Build, from the ground up, data collection tools, Excel models and dashboards that track billing audit findings, error rates and trends.

• Consolidate audit results and present clear reports and insights to programs, executive leadership and compliance committees.

• Apply statistical sampling and data quality checks to audit findings.

• Work with the Finance and Data Analytics teams to integrate their data warehouses with the compliance team's work.

• Review billing documentation and support audits and investigations when needed.

• Research healthcare regulations and use AI tools (e.g., Claude, ChatGPT, Copilot) to support analysis and process building.

• Senior experience (around 6+ years) in data analysis and reporting, including building tools and processes from scratch.

• Advanced Excel and hands-on experience with Power BI or a similar BI tool.

• Fluent English, with the ability to present findings to U.S. executives.

• Autonomy to work without close supervision, and the ability to explain data to non-technical audiences.

• Experience in healthcare, especially billing, claims, revenue cycle or compliance audits.

• Familiarity with U.S. healthcare regulations (Medicaid, CMS, HIPAA).

• Experience with EHR systems and with reviewing narrative or clinical documentation.

• 100% remote, full-time, 35 hours per week.

• Monday to Friday, 9:00 AM to 5:00 PM U.S. Eastern Time.

Originally posted on Himalayas