Revere Health

Compliance

• Leads the Revenue Cycle Compliance program across all professional billing operations.
• Develops and manages risk-based audit plans for coding, documentation, modifiers, and medical necessity.
• Supervises Compliance Auditors, AR Compliance Auditors and Analysts.
• Performs trend analysis of coding accuracy, denial patterns, payer audits, and reimbursement risk.
• Serves as the primary operational contact for payer audits, refunds, and external compliance reviews.
• Partners with Corporate Compliance and Legal on corrective action plans and self disclosure decisions.
• Provides compliance risk reporting to Revenue Cycle leadership and executive stakeholders.
• Collaborates with physician leadership to address documentation and coding risks.

Revenue Cycle Compliance Manager