PracticeSuite, Inc. · 17 hours ago
Revenue Cycle Management Compliance Specialist // Part Time
PracticeSuite, Inc. is an innovative platform that enables medical practices to enhance patient experiences. They are seeking a Compliance Specialist to manage their revenue cycle management department's compliance program, ensuring adherence to laws and industry regulations while promoting a culture of ethics and continuous improvement.
Responsibilities
Develop, maintain, and enhance the company’s corporate compliance program, with a strong focus on HIPAA, HITECH, CMS guidelines, and SaaS-specific data security standards (e.g., SOC 2)
Conduct periodic risk assessments and audits of RCM operations, including billing, coding, claims management, and client contracts
Monitor compliance with federal and state healthcare regulations, including OIG guidance, False Claims Act, and Anti-Kickback Statute
Serve as a subject matter expert (SME) for cross-functional teams (e.g., Product, Engineering, Client Success) regarding compliance risks, controls, and best practices
Lead compliance onboarding and training for internal teams and provide guidance on policy updates
Collaborate with internal IT/security teams to ensure the SaaS platform meets ongoing privacy and data protection standards (e.g., HIPAA, GDPR, SOC 2, ISO 27001)
Respond to client and auditor requests regarding compliance posture, including security questionnaires, audits, and vendor due diligence
Investigate and manage compliance incidents, including documentation, root cause analysis, remediation, and reporting
Liaise with legal, security, and external counsel/auditors as needed to ensure compliance integrity and business alignment
Qualification
Required
Strong analytical skills, leadership, organizational and communication skills
5+ years in a compliance role within a revenue cycle organization
Strong knowledge of HIPAA, HITECH, CMS billing requirements, and relevant fraud and abuse laws (FCA, AKS)
Familiarity with SaaS platform compliance, such as SOC 2, HITRUST, or ISO 27001 frameworks
Experience managing compliance programs, internal audits, and policy creation
Excellent communication skills with ability to work cross-functionally and translate legal/regulatory content into operational action
Ability to organize and prioritize including the ability to handle a high volume of work accurately and efficiently
Ability to manage highly confidential and sensitive information
Proficient skills in Microsoft Office – Word, Excel, Access, Outlook
Company
PracticeSuite, Inc.
Supporting independent practices for 20 years, PracticeSuite is a robust cloud-based software that offers a complete suite of solutions including Practice Management, Electronic Health Record, Medical Billing, Patient Engagement, and Practice Marketing.
Funding
Current Stage
Growth StageRecent News
PracticeSuite, Inc.
2025-09-17
2025-09-17
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