SSM Health
Revenue Cycle Regulatory Research Analyst
It’s more than a career, it’s a calling. Remote – reserve in MO, IL, OK, WI.
At SSM Health we value diversity, innovation, and collaboration. We foster personal and professional growth in a mission‑driven environment that delivers exceptional patient care.
Remote work may be eligible under SSM policies. Some states forbid remote work; consult Human Resources for guidance.
Candidates must reside in MO, IL, OK, or WI
Job Summary Supports the revenue cycle by serving as regulatory oversight and change management for current and new lines of business, including expansion efforts. Acts as subject‑matter expert; interprets payer guidelines for clean claim submission; develops trend reports; researches, interprets, and guides on federal, state, and local mandates, payer policies, and contracts. Performs in‑depth analysis of proposed and final rules to keep revenue cycle departments informed and compliant.
Job Responsibilities and Requirements Primary Responsibilities
Identifies and evaluates emerging compliance, coding, and financial risks using regulatory guidance, resources, and data analytics to educate and implement leading regulatory‑compliant practices.
Works with revenue cycle and operational departments to assess, oversee, and recommend business practices to ensure adherence to state and federal regulatory billing guidelines.
Interprets and analyzes state and federal regulatory rules, contracts, and guidance to assess compliance and support building procedures and workflows.
Communicates summarized impacts of regulatory or payer guideline changes to affected leaders with recommended action plans.
Develops informative educational materials for any changes and/or updates.
Serves as subject‑matter expert on existing and proposed regulations related to Medicare, Medicaid, and other payer billing processes under health care reform.
Reviews Medicare intermediary and third‑party payer bulletins, memos, and websites to keep current on coding requirements and pending changes, communicating relevant information to all applicable departments.
Performs ad‑hoc research related to billing and coding questions as needed.
Performs other duties as assigned.
Education
Bachelor’s degree or equivalent years of experience and education
Experience
Three 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 (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting, and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25‑50 lbs.
Rare climbing.
Required Professional License And/Or Certifications
Certified Coding Associate (CCA) – American Health Information Management Assoc (AHIMA)
Certified Coding Specialist (CCS) – American Health Information Management Assoc (AHIMA)
Certified Coding Specialist – Physician‑Based (CCS‑P) – American Health Information Management Assoc (AHIMA)
Certified Healthcare Financial Professional (CHFP) – Healthcare Financial Management Association (HFMA)
Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC)
Certified Professional Coder (CPC®) – American Academy of Professional Coders (AAPC)
Certified Risk Adjustment Coder (CRC) – American Academy of Professional Coders (AAPC)
Certified Revenue Cycle Representative (CRCR) – GCC (international) – Healthcare Financial Management Association (HRMA)
Certified Revenue Cycle Representative (CRCR) – Healthcare Financial Management Association (HFMA)
Certified Specialist Accounting and Finance (CSAF) – Healthcare Financial Management Association (HRMA)
Certified Specialist Business Intelligence (CSBI) – Healthcare Financial Management Association (HRMA)
Certified Specialist Payment and Reimbursement (CSPR) – Healthcare Financial Management Association (HRMA)
Certified Specialist Physician Practice Management (CSPPM) – Healthcare Financial Management Association (HRMA)
Executive of Healthcare Revenue Cycle – Healthcare Financial Management Association (HRMA)
Fellow of the Healthcare Financial Management Association (FHFMA) – Healthcare Financial Management Association (HRMA)
Registered Health Information Administrator (RHIA) – American Health Information Management Assoc (AHIMA)
Registered Health Information Technician (RHIT) – American Health Information Management Assoc (AHIMA)
Work Shift Day Shift (United States of America)
Job Type Employee
Department 8700080033 Regulatory Research RCO
Scheduled Weekly Hours 40
Benefits
Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro‑rated based on FTE).
Flexible Payment Options: voluntary benefit offered through DailyPay (fees may apply).
Upfront Tuition Coverage: tutoring coverage through FlexPath Funded for eligible team members.
SSM Health is an equal‑opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
#J-18808-Ljbffr
At SSM Health we value diversity, innovation, and collaboration. We foster personal and professional growth in a mission‑driven environment that delivers exceptional patient care.
Remote work may be eligible under SSM policies. Some states forbid remote work; consult Human Resources for guidance.
Candidates must reside in MO, IL, OK, or WI
Job Summary Supports the revenue cycle by serving as regulatory oversight and change management for current and new lines of business, including expansion efforts. Acts as subject‑matter expert; interprets payer guidelines for clean claim submission; develops trend reports; researches, interprets, and guides on federal, state, and local mandates, payer policies, and contracts. Performs in‑depth analysis of proposed and final rules to keep revenue cycle departments informed and compliant.
Job Responsibilities and Requirements Primary Responsibilities
Identifies and evaluates emerging compliance, coding, and financial risks using regulatory guidance, resources, and data analytics to educate and implement leading regulatory‑compliant practices.
Works with revenue cycle and operational departments to assess, oversee, and recommend business practices to ensure adherence to state and federal regulatory billing guidelines.
Interprets and analyzes state and federal regulatory rules, contracts, and guidance to assess compliance and support building procedures and workflows.
Communicates summarized impacts of regulatory or payer guideline changes to affected leaders with recommended action plans.
Develops informative educational materials for any changes and/or updates.
Serves as subject‑matter expert on existing and proposed regulations related to Medicare, Medicaid, and other payer billing processes under health care reform.
Reviews Medicare intermediary and third‑party payer bulletins, memos, and websites to keep current on coding requirements and pending changes, communicating relevant information to all applicable departments.
Performs ad‑hoc research related to billing and coding questions as needed.
Performs other duties as assigned.
Education
Bachelor’s degree or equivalent years of experience and education
Experience
Three 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 (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting, and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25‑50 lbs.
Rare climbing.
Required Professional License And/Or Certifications
Certified Coding Associate (CCA) – American Health Information Management Assoc (AHIMA)
Certified Coding Specialist (CCS) – American Health Information Management Assoc (AHIMA)
Certified Coding Specialist – Physician‑Based (CCS‑P) – American Health Information Management Assoc (AHIMA)
Certified Healthcare Financial Professional (CHFP) – Healthcare Financial Management Association (HFMA)
Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC)
Certified Professional Coder (CPC®) – American Academy of Professional Coders (AAPC)
Certified Risk Adjustment Coder (CRC) – American Academy of Professional Coders (AAPC)
Certified Revenue Cycle Representative (CRCR) – GCC (international) – Healthcare Financial Management Association (HRMA)
Certified Revenue Cycle Representative (CRCR) – Healthcare Financial Management Association (HFMA)
Certified Specialist Accounting and Finance (CSAF) – Healthcare Financial Management Association (HRMA)
Certified Specialist Business Intelligence (CSBI) – Healthcare Financial Management Association (HRMA)
Certified Specialist Payment and Reimbursement (CSPR) – Healthcare Financial Management Association (HRMA)
Certified Specialist Physician Practice Management (CSPPM) – Healthcare Financial Management Association (HRMA)
Executive of Healthcare Revenue Cycle – Healthcare Financial Management Association (HRMA)
Fellow of the Healthcare Financial Management Association (FHFMA) – Healthcare Financial Management Association (HRMA)
Registered Health Information Administrator (RHIA) – American Health Information Management Assoc (AHIMA)
Registered Health Information Technician (RHIT) – American Health Information Management Assoc (AHIMA)
Work Shift Day Shift (United States of America)
Job Type Employee
Department 8700080033 Regulatory Research RCO
Scheduled Weekly Hours 40
Benefits
Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro‑rated based on FTE).
Flexible Payment Options: voluntary benefit offered through DailyPay (fees may apply).
Upfront Tuition Coverage: tutoring coverage through FlexPath Funded for eligible team members.
SSM Health is an equal‑opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
#J-18808-Ljbffr