Healthcare Compliance Manager

📋 Description

• Manage monthly billing compliance reviews, validating CPT code selection, data-day thresholds
• Track updates to CMS Physician Fee Schedule Final Rules, Medicare Administrative Contractor Local
• Serve as the designated HIPAA Compliance Officer, oversee annual Security Risk Assessments
• Lead privacy and security breach investigations, coordinate required notification processes, and
• Maintain and update the organization's standard operating procedure (SOP) library, ensuring
• Conduct monthly random-sample claims audits covering at least 10% of submitted claims. Verify

🎯 Requirements

• At least 5 years of experience in healthcare compliance, particularly in Medicare billing, HIPAA
• Certified in Healthcare Compliance (CHC) certification, required or obtainable within 12 months of
• Certified in Healthcare Privacy Compliance (CHPC) certification is a plus.
• Working knowledge of CPT codes 99453–99470, CMS Physician Fee Schedule Final Rules, OIG Work Plan
• Strong understanding of healthcare privacy and security obligations, regulatory compliance
• Demonstrated ability to write, maintain, and manage standard operating procedures, audit

🎁 Benefits

• Full-time employment in a healthcare technology organization focused on remote patient monitoring
• Opportunity to contribute to compliance practices supporting AI-powered healthcare solutions and
• Collaboration with healthcare, clinical, billing, operational, and executive stakeholders.
• Opportunity to build, manage, and continuously improve a comprehensive healthcare compliance
• Salary and additional benefits were not specified in the provided job description.
• Remote work is indicated in the original listing; specific eligibility, location restrictions, and