Revenue Cycle Regulatory Research Analyst Senior

It's more than a career, it's a calling

Worker Type:

Job Highlights:

Preferred Qualifications: CHC Certification or demonstrated compliance experience and strong analytical ability

Schedule: Full Time. Monday-Friday, 8 hours between 7am - 6pm

Location: Remote - reside in MO, IL, OK, or WI

At SSM Health , we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve.

Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart.

Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance.

*Candidates must reside in MO, IL, OK, or WI

Job Summary:

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Analyzes and interprets complex regulatory changes from CMS, Medicare Administrative Contractors (MACs), Medicaid, and commercial payers.
• Translates regulatory guidance into actionable operational workflows and billing practices.
• Serves as an organizational subject matter expert on reimbursement and compliance requirements.
• Leads large-scale, cross-functional revenue cycle and compliance projects from initiation through implementation.
• Coordinates efforts across departments including coding, billing, clinical operations, compliance, and finance.
• Develops project plans, timelines, and deliverables to ensure timely execution of regulatory initiatives.
• Supports audit response efforts, including documentation review, appeal strategy, and corrective action planning.
• Provides advanced education and guidance to revenue cycle teams and operational leaders.
• Develops training materials and communications related to regulatory updates and compliance expectations.
• Acts as a liaison between regulatory guidance and frontline operational execution.
• Performs other duties as assigned.

EDUCATION

Bachelor's degree

EXPERIENCE

Five years' experience

PHYSICAL REQUIREMENTS

Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.

Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.

Frequent use of vision and depth perception for distances near