Overview

M-F, 40 hours a week, hybrid, on-site one day per week

This position is responsible for researching and providing timely, accurate, and reliable information on laws and regulations, with a focus on healthcare billing and reimbursement. The incumbent must be able to translate regulatory information into easy-to-understand summaries to a predominantly non-lawyer audience. Other responsibilities include but are not limited to: ensuring implementation of key regulatory updates; identification and assessment of SFT Risks; and assistance with RCS litigation matters, including hospital liens and worker's compensation. J.D. degree required for litigation-based job responsibilities and for executing hospital liens. This position requires advanced knowledge of the healthcare industry, healthcare operations, and related laws, including issue-spotting concepts the Business Analyst has never seen before, and the ability to accurately interpret said laws to effectively provide answers. Medical billing and/or coding experience is a plus.

Context & Purpose of Role

*It fulfills our need for a dedicated regulatory expert who can research, interpret, and operationalize healthcare billing and reimbursement rules, support litigation-related workflows, identify compliance risks, and ensure successful implementation of regulatory updates across Revenue Cycle Services.

Responsibilities of Role

*Regulatory Research & Interpretation: Conduct legal and regulatory research on healthcare billing and reimbursement rules and translate complex requirements into clear, actionable guidance

*Regulatory Monitoring & Implementation: Track federal, state, and payer updates; identify operational impact and SFT risks; support timely implementation across RCS

*Litigation-Related Support: Provide support for RCS litigation matters, including attorney communication and accurate documentation.

*Stakeholder Communication & Education: Prepare concise regulatory summaries and support education for frontline team members and leadership.

Preferred Skills

*Strong legal research and interpretation skills

*Excellent written communication

*Strong analytical and issue-spotting skills

Other Requirements
* Bachelor's degree preferred. Requires proficiency in MS Excel and Access. Experience in a healthcare, accounting or corporate finance setting strongly preferred.
* Requires ability to work with all levels of healthcare management and staff.
* Requires basic knowledge of finance and statistics (ROI; NPV; risk; etc.).
* Requires excellent written and verbal communication skills.
* Requires exceptional interpersonal; problem-solving; and analytic skills.
* Requires the ability to work independently.
* Requires the ability to take initiative and meet objectives.
* Requires the ability to promote teamwork and build effective relationships.
* Requires the ability to prioritize, track and perform multiple tasks simultaneously.
* Requires the ability to perform in a fast paced environment.