Enabling access to life-changing treatments for neurological care.
Quality Assurance & Compliance Manager
Location
United States
Posted
21 days ago
Salary
Not specified
Job Description
Job Requirements
- 7+ years of progressive experience in healthcare revenue integrity, auditing, compliance, or quality management.
- Demonstrated experience designing and implementing structured QA/QC or revenue integrity programs in multi-site healthcare environments.
- Advanced knowledge of CMS billing regulations, MAC LCD/NCD policies, Commercial payer reimbursement structures, CPT/HCPCS coding standards, Modifier compliance logic, and FDA Indications & Medical Necessity requirements
- Experience in managing audit documentation, corrective action workflows, and compliance governance.
- Strong analytical capability with the ability to interpret complex billing data and regulatory guidance.
- Executive-level written and verbal communication skills.
- CPC, CPMA, RHIA, RHIT, or equivalent certification (preferred).
- Experience within neurology, infusion therapy, specialty pharmaceuticals, or other high-complexity service lines (preferred).
- Experience in MSO or multi-practice healthcare platforms (preferred).
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
- Bonuses
- Equipment allowances
- Wellness programs
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