Chief Compliance Officer

Responsibilities: Lead clinical and billing compliance for remote care programs while managing the end-to-end payor audit and recoupment lifecycle. Serve as the primary compliance voice during enterprise sales, payor negotiations, and strategic diligence processes.

Requirements: Requires extensive experience in payor-side fluency, CMS audit leadership, and a proven track record of defending Medicare recoupments. Candidates must be proficient in using AI tools for productivity and have deep knowledge of CPT-level requirements for remote care.

Key skills: Clinical Compliance, Billing Compliance, Payor Audit Defense, CMS Regulations, Medicare Appeals, CPT Coding, HIPAA Privacy, TCPA Compliance, OIG Seven-Element Standard, Generative AI, Multi-state Licensure, Enterprise Governance, Risk Management, Regulatory Monitoring, Strategic Diligence, Healthcare Operations

Keywords: RPM, CCM, BHI, CMS, CPT Codes, MAC, RAC, UPIC, TPE, OIG, HIPAA, TCPA, CHC Certification, Juris Doctor, Claude, ChatGPT, LLMs, Generative AI, Value-Based Care, Private Equity Diligence, Physician Fee Schedule, Remote Patient Monitoring, Chronic Care Management, Behavioral Health Integration, Medical Device Assessments, Healthcare Compliance, Audit Defense, Recoupment, Telehealth