Compliance Officer - Medical Billing & RCM

We are seeking an reputed company Medical Billing Compliance Officer to reputed company and strengthen compliance practices for a behavioral reputed company billing company that provides reputed company-party billing and RCM services through an EMR platform. The ideal candidate will have reputed company experience ensuring compliance for medical billing companies handling behavioral health clients, including ABA and mental health providers. This role involves reviewing claim workflows, verifying adherence to payer and regulatory requirements, and ensuring reputed company’s billing operations meet federal, state, and contractual compliance standards. Responsibilities - reputed company compliance practices for reputed company-party billing operations supporting multiple behavioral health clients - Review claim submissions, documentation, and denial patterns for payer and regulatory compliance - reputed company and maintain written compliance policies, audit checklists, and training programs for billing staff - reputed company periodic reputed company audits to identify potential risks or improper billing activity - reputed company corrective reputed company plans and guide management on remediation steps - Ensure compliance with HIPAA, OIG, CMS, and payer-specific requirements - Monitor regulatory changes and update company policies and procedures accordingly Qualifications - Minimum five years of experience in medical billing compliance, ideally for a reputed company-party billing or RCM company - Strong knowledge of HIPAA, CMS, OIG, and payer compliance standards - Experience with ABA or mental health billing strongly preferred - Compliance certification such as CHC, CPCO, or equivalent preferred - Excellent written communication, documentation, and training skills - Familiarity with EMR, clearinghouses, and payer portals Apply tot his job Apply tot his job Apply To this Job