RCM AI Compliance Director

ModMed

AI Compliance Director embedding billing regulations into ModMed’s healthcare revenue-cycle AI platform. Designing guardrails, governance, and audit controls for accurate, defensible outputs.

Posted 8/4/2026full-timeRemote • 🇺🇸 United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Revenue Cycle Management (RCM), healthcare coding, and compliance, with a strong ability to implement compliance programs in AI-driven environments. Skilled in translating complex regulatory requirements into actionable guidelines while maintaining patient privacy and billing integrity.

Highest-signal resume keywords

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Billing OperationsRegulatory ComplianceData ModelingTechnical Policy DevelopmentRisk Assessment

Soft Skills

CollaborationCommunicationProblem-Solving

Tools & Technologies

AI PlatformsSaaS Solutions

Industry Keywords

Coding RegulationsPatient PrivacyCompliance ControlsAutomated WorkflowsInternal Audit

About the role

Key responsibilities & impact

Review technical requirements to ensure the AI Platform complies with current coding and billing regulations
Determine appropriate and compliant modeling data while maintaining patient privacy and billing integrity
Review and approve AI assistant or agent recommendations
Define caveats and guardrails for AI-generated outputs
Assess the RCM regulatory landscape, including payer requirements and coding updates
Identify risks associated with automated workflows
Align Legal, Compliance, and RCM Operations on the organization’s AI risk tolerance
Maintain documented compliance controls for AI workflows
Partner with internal audit to keep the platform transparent and auditable

Requirements

What you’ll need

Bachelor’s Degree in a related field
10+ years in RCM, healthcare coding, compliance, or billing
Active, hands-on experience in billing and healthcare operations
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 programmatic technical policies for AI models
Ability to serve as a firm compliance gatekeeper and 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
Company Health Savings Account contribution
401(k) matching contribution of 50% of contributions deferred on up to 6% of compensation
100% vesting of matching contributions after one year of employment
Generous Paid Time Off
Paid Parental Leave
Company-paid Life and Disability benefits
Flexible Spending Account
Employee Assistance Programs
Company-sponsored Business Resource & Special Interest Groups
Professional development opportunities
Tuition reimbursement programs
Unlimited access to LinkedIn Learning
Remote availability for some roles