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Billing & Coding Compliance Analyst

Job in Dayton, Montgomery County, Ohio, 45444, USA
Listing for: System Support
Full Time position
Listed on 2026-07-25
Job specializations:
  • Healthcare
    Medical Billing and Coding, Medical Records, Healthcare Compliance, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
Position: BILLING & CODING COMPLIANCE ANALYST

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.

Hybrid work environment.

Responsibilities
  • 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 work groups
  • Ensure compliance with laws and policies
Qualifications
  • 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
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.

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.

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