Compliance Director, AI RCM

ModMed

AI Compliance Director embedding regulatory logic into RCM AI Platform lifecycle. Review requirements, ensure data integrity, maintain compliance controls, and assess regulatory risks.

Posted 7/29/2026full-timeRemote • 🇺🇸 United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

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Expertise in Revenue Cycle Management (RCM) workflows and compliance risk management, with a strong ability to translate complex regulatory requirements into actionable guidelines for AI-driven environments. Proven experience in implementing compliance programs and maintaining documented compliance controls for AI workflows.

Highest-signal resume keywords

Revenue Cycle Management (RCM)Healthcare CodingCompliance Risk ManagementAI Compliance ProgramsPayer Rules

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare OperationsBilling RegulationsTechnical Policy DevelopmentData Modeling ComplianceRegulatory Requirements Translation

Soft Skills

Collaborative PartnershipGatekeeping for ComplianceCommunication with Senior Leaders

Tools & Technologies

AI PlatformsSaaS Environments

Industry Keywords

Coding UpdatesPatient PrivacyCompliance ControlsInternal AuditAutomated Workflows

About the role

Key responsibilities & impact

Review technical requirements to ensure the AI Platform is built according to current coding and billing regulations
Determine appropriate and compliant data for use in modeling, ensuring patient privacy and billing integrity are maintained throughout development
Review and approve recommendations made by AI assistants or agents; define necessary caveats and guardrails for AI-generated outputs to meet legal standards
Continuously assess the RCM regulatory landscape—including payer requirements and coding updates—to identify risks specific to automated workflows
Act as a collaborative 'defensive' expert between Legal, Compliance, and RCM Operations to align on the organization’s AI risk tolerance
Maintain documented compliance controls for AI workflows and partner with internal audit to ensure the platform remains transparent and auditable.

Requirements

What you’ll need

Bachelor’s Degree in a related field
Master’s degree strongly preferred
10+ years in RCM, healthcare coding, compliance, or billing
Must have active, hands-on experience working in billing and healthcare operations, not just theoretical certifications
Deep understanding of RCM workflows, payer rules, and compliance risk management
Proven experience implementing compliance programs within high-tech, SaaS, or AI-driven environments
Ability to convert 'vague' compliance guidelines into technical policies that can be programmatically applied to AI models
Ability to be a firm gatekeeper for compliance while remaining a productive partner to technical Product teams
Ability to translate complex regulatory requirements into practical guidelines for senior leaders and engineers.

Benefits

Comp & perks

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 Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning
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