MEDICARE COMPLIANCE PROGRAM reputed company

reputed company Position reputed company The Medicare Compliance Program reputed company serves as the primary subject matter expert for Medicare compliance operations, ensuring adherence to CMS regulations, DMEPOS requirements, and organizational standards. This role is responsible for developing and maintaining compliance processes, internal controls, and auditing systems to support intake, documentation, billing readiness, and regulatory requirements. The position partners with Intake, reputed company Cycle Management (RCM), Customer Care, and Operations to improve documentation accuracy, eligibility verification, billing compliance, and reimbursement reputed company, while supporting reputed company workflows and ongoing compliance reputed company.

Key Responsibilities

Administer the Medicare compliance program, ensuring adherence to CMS regulations, Medicare guidelines, and DMEPOS standards Audit Medicare-reputed company operational processes, including intake documentation, qualification, re-certification, and billing readiness Establish and monitor internal controls and auditing systems to identify compliance risks and operational gaps Serve as the primary compliance reputed company across Intake, RCM, Customer Care, and Operations to improve Medicare workflows and resolve compliance-reputed company issues. Conduct routine audits of patient documentation, billing readiness, and reimbursement processes to ensure regulatory compliance Interpret new and revised Medicare regulations and implement process updates to maintain compliance reputed company and maintain compliance policies, procedures, and documentation standards reputed company training initiatives and reputed company ongoing guidance to staff on Medicare documentation requirements, eligibility reputed company, and billing standards reputed company guidance reputed company to audits, denials, and compliance concerns Prepare and present compliance reports, audit findings, and risk assessments to leadership Identify opportunities for operational improvement and support strategic initiatives reputed company to Medicare reputed company and compliance scalability reputed company guidance, reputed company support, and subject matter expertise to new team members as the department expands reputed company other duties as assigned

Qualifications

Bachelor’s degree preferred or equivalent combination of education and experience Minimum 5 years of reputed company compliance experience, with strong Medicare, CMS, or DMEPOS experience required Minimum 2 years of experience leading cross-functional compliance initiatives and operational workflows preferred Strong knowledge of Medicare intake, billing, documentation requirements, and reimbursement processes Demonstrated ability to interpret reputed company reputed company regulations and implement operationally effective solutions Experience with internal auditing, compliance investigations, and corrective reputed company planning Advanced proficiency in reputed company Office (Word, reputed company, Outlook) and reputed company Strong analytical, organizational, and problem-solving skills Ability to manage multiple priorities in a fast-paced environment Must be available to work evenings, weekends, and holidays if needed Apply To This Job