HCS Compliance Analyst
Listed on 2026-02-01
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Healthcare
Health Informatics, Healthcare Administration
Description
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
Summary: The HCS Compliance Analyst will be assigned to support one of the following Departments in the Compliance Program:
Hospital Compliance;
Physician Compliance;
Compliance and Privacy Operations - Audits and Analytics; or Compliance and Privacy Operations - Third Party Risk Management. Under the supervision and direction of Compliance Program leadership, the HCS Compliance Analyst implements the essential elements of UNC Health's systemwide Compliance Program, such as supporting audits, assisting with monitoring of ongoing risks to the organization, training and educating teammates, completing investigations of potential misconduct, and providing such other professional services as directed.
The HCS Compliance Analyst completes assigned tasks independently and also collaborates with teammates across UNC Health as needed to promote compliance with legal and regulatory requirements, as well as UNC Health policies and procedures. In addition, the HCS Compliance Analyst I serves as a resource to teammates across UNC Health. The Analyst is responsible for managing and analyzing financial assistance programs to support patients in need.
This role involves evaluating applications for patient assistance, ensuring compliance with policies, and providing insights to improve fund utilization and patient support. The HCS Compliance Analyst will support the evaluation process by determining financial need through comprehensive case management, data analysis, and financial counseling.
Assists in conducting the annual systemwide Compliance Program risk assessment and in preparing the audit and monitoring work plan for each fiscal year. Completes individual audit and monitoring projects outlined in the Compliance Program work plan. Collaborates with teammates from across UNC Health to complete projects. Obtains and analyzes patient and business data to evaluate risk areas. Performs data collection and analysis.
Makes recommendations for performance improvement aligned with policies and legal/regulatory requirements. Analyzes audit findings and reports results with recommendations. Provides one-on-one or group education. Documents findings in accordance with department standards and communicates findings as directed by leadership.
Review and assess applications for financial assistance to ensure accuracy and compliance with policy and regulatory requirements. Maintain accurate records of fund activity and guide patients through the financial assistance process.
Supports investigations of actual or potential violations of laws, regulations, and UNC Health policies. Conducts Ethics Point investigations as assigned. Documents findings in accordance with department standards and provides analysis with recommendations. Works with operational and clinical leaders to implement corrective action plans.
Maintains current understanding of relevant laws, regulations, policies, procedures, standards, and CMS guidance. Identifies areas of weakness within the Patient Assistance Fund program and formulates recommendations to enhance operations and compliance. Prepares comprehensive reports on fund allocation and program effectiveness.
Develops productive working relationships with UNC Health teammates and external stakeholders. Communicates openly and effectively. Identifies barriers to objectives and develops strategies to resolve challenges. Serves as a resource to physicians, coders, reimbursement analysts, and other teammates. Responds to inquiries about standards and best practices for coding, billing, documentation, and risk areas.
Demonstrates knowledge of healthcare reimbursement, health system operations, medical staff standards, coding, billing, and documentation; proficient with electronic health records; demonstrates intermediate presentation skills; translates policy and regulatory information for non-technical users; manages multiple projects and deadlines; proficiency with Microsoft 365, graphs, spreadsheets, pivot tables, formulas, Visio, dashboards, and analytics tools; capable with data extraction and analysis; organizes, analyzes, and interprets data and evidence to communicate findings and recommendations.
Performs special projects as assigned; conducts or facilitates professional meetings to share information on policy changes, billing, and compliance activities; assists with development and delivery of compliance training; prepares policies, procedures, tip sheets, and other resources for teammates.
Other Information
Qualifications- Education Requirements:
Associate's or Bachelor's degree in Accounting, Business Administration, Health Administration, Health Information…
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