Nira Medical Group

Enabling access to life-changing treatments for neurological care.

Quality Assurance & Compliance Manager

QA EngineerQA EngineerFull TimeRemoteTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

21 days ago

Salary

Not specified

Bachelor Degree7 yrs expEnglish

Job Description

• Help lead the design, implementation, and ongoing execution of the enterprise quality program. • Ensure billing accuracy, regulatory compliance, and revenue integrity across all practice locations. • Embed structured quality controls into operational workflows to proactively mitigate risk and strengthen audit readiness. • Establish and maintain a best-in-class Revenue Integrity Quality Management Program across Nira’s multi-site neurology platform. • Develop structured audit protocols and oversee compliance inspection frameworks. • Enforce billing standards and manage corrective action processes. • Advance continuous quality improvement initiatives and safeguard interface and claim integrity. • Ensure RCM remains compliant with CMS regulations, MAC LCD/NCD policies, Commercial payer requirements, NCCI edit standards, and Internal billing governance protocols.

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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