Healthcare Compliance Manager

Job Summary

Leading compliance oversight in a remote capacity, the full-time Manager of Revenue Cycle & Compliance will manage audits, analyze data, investigate patient complaints, and coordinate external payer audits throughout the DME order-to-payment lifecycle.

Key responsibilities

• Independently develop and execute risk-based audits, maintaining reproducible workpapers and supported conclusions
• Review and assess documentation related to intake, eligibility, benefits verification, and payer requirements across the order lifecycle
• Lead compliance investigations and coordinate responses to Medicare and commercial payer audits, ensuring documentation quality and completeness

Required qualifications

• Bachelor's degree in healthcare administration, accounting, finance, business, or a related field, or equivalent relevant education and experience
• At least five years of experience in healthcare compliance, reimbursement audit, or revenue integrity, including direct Medicare DMEPOS experience
• Practical knowledge of the DME order-to-payment lifecycle, including documentation, authorizations, and patient financial protections
• Demonstrated ability to design and execute audits, including root-cause analysis and corrective-action validation
• Strong Excel skills, including data reconciliation and exception analysis, with the ability to produce clear findings reports and presentations