Compliance Director, AI RCM

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ModMed

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

ModMed is a healthcare technology company that provides specialty-specific electronic health record (EHR) software, practice management, revenue cycle management, analytics, and patient communication tools for medical practices. Their platform integrates AI-powered features—like ModMed Scribe—for clinical documentation, workflow automation, billing assistance, and patient engagement to help specialty physicians streamline operations and improve efficiency. ModMed focuses on serving specialty practices (dermatology, ophthalmology, gastroenterology, orthopedics, OBGYN, etc. ) with onboarding, support, and integrations (FHIR API, telehealth, payment processing).

📋 Description

• Review technical requirements to ensure the AI Platform is built according to current coding and billing regulations • Determine appropriate and compliant data for use in modeling, ensuring patient privacy and billing integrity are maintained throughout development • Review and approve recommendations made by AI assistants or agents; define necessary caveats and guardrails for AI-generated outputs to meet legal standards • Continuously assess the RCM regulatory landscape—including payer requirements and coding updates—to identify risks specific to automated workflows • Act as a collaborative 'defensive' expert between Legal, Compliance, and RCM Operations to align on the organization’s AI risk tolerance • Maintain documented compliance controls for AI workflows and partner with internal audit to ensure the platform remains transparent and auditable.

🎯 Requirements

• Bachelor’s Degree in a related field • Master’s degree strongly preferred • 10+ years in RCM, healthcare coding, compliance, or billing • Must have active, hands-on experience working in billing and healthcare operations, not just theoretical certifications • Deep understanding of RCM workflows, payer rules, and compliance risk management • Proven experience implementing compliance programs within high-tech, SaaS, or AI-driven environments • Ability to convert 'vague' compliance guidelines into technical policies that can be programmatically applied to AI models • Ability to be a firm gatekeeper for compliance while remaining a productive partner to technical Product teams • Ability to translate complex regulatory requirements into practical guidelines for senior leaders and engineers.

🏖️ Benefits

• Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution • 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep. • Generous Paid Time Off and Paid Parental Leave programs • Company paid Life and Disability benefits • Flexible Spending Account, and Employee Assistance Programs • Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed • Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning • Global presence and in-person collaboration opportunities; dog-friendly HQ (US) • Hybrid office-based roles and remote availability for some roles • Weekly catered breakfast and lunch • Treadmill workstations, Zen, and wellness rooms within our BRIC headquarters