Role OverviewThe Head of Audit and Compliance leads Aeroflow Health's healthcare compliance and audit programs across its business units and applicable subsidiaries. This role develops practical controls to support compliant operations, accurate billing, and readiness for payer and regulatory review.
What You Will Do
Essential responsibilities include establishing and maintaining a risk-based compliance program, leading internal reviews of claims and patient records, and investigating suspected misconduct and billing concerns.
Why It Might Be a Fit
The ideal candidate will have at least eight years of progressive healthcare compliance, audit, reimbursement, or regulatory experience, including at least three years leading a team or a significant enterprise program.
Requirements
- Bachelor's degree in healthcare administration, business, accounting, nursing, or a related field, or an equivalent combination of relevant education and experience
- At least eight years of progressive healthcare compliance, audit, reimbursement, or regulatory experience, including at least three years leading a team or a significant enterprise program
- Substantial experience with Medicare, Medicaid, and commercial payer requirements, healthcare billing and documentation audits, external payer reviews, and corrective action
- Working knowledge of healthcare fraud and abuse requirements, including the False Claims Act, Anti-Kickback Statute, and applicable state requirements; ability to identify issues requiring legal advice
Benefits
- Competitive Pay
- Health Plans with FSA or HSA options
- Dental and Vision Insurance
- Optional Life Insurance
- 401K with Company Match
- 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s)
- Additional Parental benefits to include fertility stipends, free diapers, breast pump
- Paid Holidays
- PTO Accrual from day one
- Employee Assistance Programs
]]>