Regulatory Compliance Director
Job Summary
Job Description
- Bachelor's in Health Information Management, Nursing, or related field.
- CHC, CPC, CCS, RHIA/RHIT, CCDS, or COC certification.
- 8+ years leading compliance or audit functions.
- Proven success defending RAC/MAC, UPIC, or commercial payer audits.
- Experience designing documentation or coding QA programs.
- Mastery of HIPAA, HITECH, CMS E/M & HCC, OIG CPG.
- Experience with EHRs and AI/ML concepts.
- Strong executive presence and communication skills.
- Clinical credential (RN, NP, PA, MD/DO)
- Experience with ambient scribe or voice AI technologies
- SOC 2 or HITRUST audit participation
- Lean Six Sigma or similar process improvement certification
- Performance bonus up to 20%
- Comprehensive medical, dental, vision insurance
- 401(k) with match
- Paid leaves
- Professional development stipend for certifications
2 skills required
Job Details
Job Title: Director of Compliance & Clinical Documentation Integrity | Regulatory Compliance Director
Location: Chicago, IL (hybrid onsite 3 days/week)
Position Summary
Neolytix is launching an integrated Documentation Audit & Compliance Program that pairs our NeoScribe™ ambient AI platform with dual coder audits and CDI coaching for midmarket healthcare groups.
The Director of Compliance will design, govern, and continuously improve this program, ensuring every engagement meets or exceeds OIG, CMS, HIPAA, and payer standards while delivering measurable risk reduction for clients.
Key Responsibilities
Domain | Core Duties |
Governance & Policy | • Own the corporate compliance framework mapped to the OIG 7Element model. |
Audit Program Leadership | • Architect the dual coder + clinician review methodology (baseline, concurrent, retrospective). |
Client Liaison & Advisory | • Serve as primary compliance contact for client CEOs/CMOs during onboarding and external payer audits. |
AI & Data Oversight | • Partner with Product to validate NeoScribe prompt updates; ensure AI output aligns with CMS medical necessity guidelines. |
Training & Culture | • Develop microlearning modules (15 min) and CME eligible webinars on documentation best practices. |
Third Party Assurance | • Select and manage independent firms for annual 200chart spot checks. |
Regulatory Monitoring | • Track new CMS, OIG Industry Specific CPG, and state regulations; update policies within 60 days of issuance. |
Required Qualifications
Education: Bachelor’s in Health Information Management, Nursing, or related field.
Certifications (any two): CHC, CPC, CCS, RHIA/RHIT, CCDS, COC.
Experience:
8+ yrs leading compliance or audit functions in provider or RCM settings.
Demonstrated success defending RAC/MAC, UPIC, or commercial payer audits.
Hands on design of documentation or coding QA programs (≥10,000 encounters/month).
Regulatory Mastery: HIPAA, HITECH, CMS E/M & HCC guidelines, OIG CPG.
Technical: Experience with multiple EHR's, familiarity with AI/ML concepts in clinical documentation.
Soft Skills: Executive presence, persuasive communication, change management, and cross cultural team leadership.
Preferred Extras
Clinical credential (RN, NP, PA, MD/DO)
Prior experience with ambient scribe or voice AI technologies
SOC 2 or HITRUST audit participation
Lean Six Sigma or similar process improvement certification
Success Metrics
KPI | Target |
Coding error rate across all audited clients | ≤ 3 % |
External audit pass rate | ≥ 95 % |
Denial reduction (coding/medical necessity) | ≥ 25 % vs. baseline |
Policy update turnaround after new regulation | ≤ 60 days |
Client NPS for compliance advisory | ≥ 70 |
Travel & Work Environment
Up to 25 % travel for client kickoffs, payer meetings, and audit defense.
Chicago HQ office presence required weekly; remote collaboration with global coder teams in India & the Philippines.
Compensation & Benefits
Base salary: $150 k – $185 k DOE + performance bonus (up to 20 %).
Comprehensive medical, dental, vision; 401(k) with match; paid leaves.
Professional development stipend for certifications.
Equal Opportunity
Neolytix is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Ready to safeguard the integrity of AI powered documentation for thousands of providers?
Send your résumé and a 1page summary of a recent audit defense you led to careers@neolytix.com (cc ronel@neolytix.com) with the subject “Director of Compliance – Chicago.”
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