3 regulatory analyst coder jobs found

Rocky Mountain Review brings clarity and confidence to healthcare by focusing on what matters most—accuracy, accountability, and the people behind every claim.   In an industry often driven by speed and volume, Rocky Mountain Review stands for thoughtful review and sound judgment. Our approach is rooted in a simple belief: every decision should be defensible, every outcome intentional, and every client supported with consistency they can rely on.   We engage deeply across the claim lifecycle—strengthening payment integrity, supporting plan performance, and delivering insights that empower better decisions. By combining clinical expertise with meticulous review processes, we ensure that nothing is overlooked, and everything is aligned, every time.   About This Opportunity:   As a Lead Coding, Audit, and Compliance Specialist, you play a critical role in ensuring accuracy and integrity across...

Su pervisor Certified Professional Coder   Job Summary:   Under the direction of the Revenue Cycle Manager, the Supervisor Lead Certified Professional Coder provides operational oversight, leadership, and supervisory support to the coding team and Lead Certified Professional Coder. This role ensures accurate, compliant, and timely coding and charge capture for physician services, while supporting workflow optimization, staff development, performance management, and quality assurance. The position serves as a key leadership layer to support team growth, scalability, and operational excellence.   Primary Job Responsibilities/Tasks may include, but not limited to:   Leadership & Supervision: Provides direct supervision, mentorship, and daily operational oversight of the Lead Certified Professional Coder and coding staff. Supports staffing, scheduling, workload distribution, and productivity management. Assists with onboarding, training,...

This position has the primary function of coordinating and supporting the Deputy Chief Compliance Officer with administrative, analytical, and program coordination activities. This position will provide support related to compliance auditing activities and programs, assisting with developing and coordinating the Compliance Audit Plan, supporting proactive and reactive audits of professional fee billings in clinic and facility settings, including federally qualified health centers. Proactively support audit activities related to billing and coding risks to the SOM, identifying and calculating potential overpayments based on audit results, participating in the repayment process if necessary, reviewing research billing compliance issues and assisting the Deputy Chief Compliance Officer in designing and managing a comprehensive billing/auditing program.  The position supports compliance-related activities by gathering information, coordinating documentation reviews, monitoring...