At **ModMed**, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: **we hired doctors and taught them how to code.** This "for doctors, by doctors" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care.ModMed is seeking an **RCM Compliance Project Director** as a senior individual contributor responsible for designing, executing, and continuously enhancing the Revenue Cycle Management (RCM) compliance program. This role serves as the internal owner of the RCM compliance program, ensuring it is audit-ready for internal review, aligned with Audit leadership, and in compliance with Legal and regulatory expectations.* Own and operate the BOOST RCM Compliance Program, ensuring it is fully documented, auditable, and scalable.* Establish and maintain compliance controls, monitoring activities, and escalation protocols across RCM workflows.* Ensure audit readiness by partnering closely with internal audit to support reviews, testing, and remediation activities.* Continuously assess the RCM regulatory landscape (e.g., coding, billing, reimbursement, payer requirements, federal and state regulations) to identify compliance risks.* Define the organization’s risk tolerance in partnership with executive leadership across RCM, Compliance and Legal.* Translate regulatory requirements into a clear compliance framework, including:
+ What the organization will monitor and scan for
+ How violations or risks are identified
+ Defined “then what” response guidelines, remediation steps, and corrective action plans* Serve as a compliance subject-matter expert in customer conversations, audits, or regulatory inquiries as needed.* Clearly articulate regulatory requirements, compliance posture, and remediation approaches to external stakeholders.* Bachelor’s degree; Masters degree strongly preferred* 10+ years of experience in Revenue Cycle Management, healthcare compliance, coding, billing, or reimbursement-related roles.* Deep understanding of the RCM regulatory environment, including coding, billing, payer rules, and compliance risk management.* Proven experience designing, implementing, and executing compliance programs in a healthcare or healthcare technology environment.* Strong ability to translate complex regulatory requirements into practical, executable business guidelines.* Executive-level communication skills with the ability to engage confidently with senior leaders, Legal partners, auditors, and customers.* Experience supporting or partnering with audit functions.* Background in healthcare SaaS, RCM services, or scaled healthcare operations.* Prior experience in a director-level individual contributor or enterprise compliance leadership role.* 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
that provide engaged and supportive communities within ModMed,* Professional development opportunities, including tuition reimbursement programs and unlimited access to ,* 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.### Get In TouchIntroduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match. #J-18808-Ljbffr
+ What the organization will monitor and scan for
+ How violations or risks are identified
+ Defined “then what” response guidelines, remediation steps, and corrective action plans* Serve as a compliance subject-matter expert in customer conversations, audits, or regulatory inquiries as needed.* Clearly articulate regulatory requirements, compliance posture, and remediation approaches to external stakeholders.* Bachelor’s degree; Masters degree strongly preferred* 10+ years of experience in Revenue Cycle Management, healthcare compliance, coding, billing, or reimbursement-related roles.* Deep understanding of the RCM regulatory environment, including coding, billing, payer rules, and compliance risk management.* Proven experience designing, implementing, and executing compliance programs in a healthcare or healthcare technology environment.* Strong ability to translate complex regulatory requirements into practical, executable business guidelines.* Executive-level communication skills with the ability to engage confidently with senior leaders, Legal partners, auditors, and customers.* Experience supporting or partnering with audit functions.* Background in healthcare SaaS, RCM services, or scaled healthcare operations.* Prior experience in a director-level individual contributor or enterprise compliance leadership role.* 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
that provide engaged and supportive communities within ModMed,* Professional development opportunities, including tuition reimbursement programs and unlimited access to ,* 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.### Get In TouchIntroduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match. #J-18808-Ljbffr