Madison Medical and Sports Rehabilitation Center · 15 hours ago
Chief Compliance Officer
Madison, NJ
Full-time
Onsite
Director/Executive
$170K/yr - $180K/yr
8+ years expMadison Medical and Sports Rehabilitation Center is seeking an experienced and strategic Chief Compliance Officer (CCO) to lead compliance and risk management initiatives across the organization. The CCO will work closely with senior leadership to ensure adherence to legal standards and internal procedures, fostering a culture of integrity while supporting business growth through effective compliance practices.
Hospital & Health Care
Responsibilities
Serve as the internal authority on healthcare compliance and regulatory governance
Ensure compliance with:
HIPAA / HITECH
Medicare & Medicaid regulations
Commercial payer requirements
State and federal healthcare laws
Proactively identify compliance risks and implement mitigation strategies before issues arise
Lead internal compliance audits and prepare the organization for external audits or payer reviews
Oversee medical operations compliance across all service lines and providers
Ensure workflows align with:
Scope-of-practice laws
Supervision and delegation requirements
Documentation and medical necessity standards
Partner with clinical leadership to support compliant rollout of new procedures, services, and modalities
Establish and maintain clinical SOPs that protect providers and the organization
Provide governance and oversight of the billing and coding teams
Ensure accurate and compliant use of:
CPT, ICD-10, HCPCS codes
Modifiers and payer-specific rules
Work with providers to:
Improve documentation quality
Align templates and notes with payer and regulatory requirements
Reduce denials and post-payment risk
Ensure documentation supports medical necessity, prior authorization, and audit defensibility
Ensure the organization maintains a buttoned-up, compliant payer strategy
Oversee governance of:
In-network billing
Out-of-network billing
Hybrid and self-pay workflows
Ensure compliance with:
Balance billing rules
No Surprises Act (NSA)
Fair Health benchmarking (where applicable)
Partner with CFO and COO to ensure payer mix decisions are legally sound, defensible, and sustainable
Own and maintain all patient-facing compliance documentation, including:
HIPAA notices and acknowledgments
Informed consent forms
Financial responsibility disclosures
Medicare/Medicaid-required forms
Ensure forms are:
Legally compliant
Operationally integrated into EMR workflows
Consistently executed and audited
Lead privacy risk assessments and incident response planning
Ensure all staff meet compliance requirements related to:
Licensing and credentialing
Scope of practice
HIPAA and privacy
Internal policies and SOPs
Oversee compliance components of:
Staff onboarding
Annual training
Attestations and acknowledgments
Partner with HR and operations on corrective action, retraining, or remediation when compliance gaps arise
Handle all contracts coming in and going out for any vendors, partners, 1099's, leases, etc
Work collaboratively with:
CFO (financial governance, payer risk)
COO (operations, workflows, staffing)
Clinical leadership (documentation, care delivery)
Serve as a strategic advisor on compliance implications for growth, expansion, and new service lines
Translate complex regulations into clear, practical operational guidance
Lead efforts in risk assessment, mitigation strategies, and process improvements to enhance operational integrity
Provide strategic guidance on legal and regulatory requirements affecting the organization’s operations
Oversee internal audits, investigations, and reporting processes related to compliance issues
Manage relationships with regulatory agencies, external auditors, and legal advisors to ensure ongoing compliance
Lead training initiatives to promote a culture of ethical behavior and awareness across all levels of the organization
Monitor changes in laws and regulations impacting the organization and adapt policies accordingly
Manage a team of compliance professionals, providing mentorship and fostering leadership development within the department
Qualification
Required
8–12+ years in healthcare compliance, medical operations, billing/coding governance, or regulatory oversight
Deep experience with Medicare and Medicaid
Deep experience with commercial payer compliance
Deep experience with HIPAA and patient privacy
Deep experience with billing and coding oversight
Demonstrated ability to lead compliance across multi-disciplinary or hybrid practices
Strong understanding of EMR systems, documentation workflows, and audit preparedness
Experience supporting audits, payer reviews, or regulatory inquiries
Certifications such as CHC, CPC, CPMA, CCS, or similar
Background in multi-specialty or procedure-based practices
Proven experience in management, strategic planning, and operations management within a corporate or organizational setting
Strong background in senior leadership roles with demonstrated success in negotiation, business development, and project management
Expertise in process improvement methodologies and implementing effective compliance frameworks
Excellent leadership skills with the ability to influence cross-functional teams and drive organizational change
Exceptional communication skills for engaging stakeholders at all levels and presenting complex information clearly
Bachelor's degree in Law, Business Administration, or a related field
Demonstrated ability to manage multiple priorities effectively while maintaining attention to detail in a fast-paced environment
Preferred
Advanced degrees or certifications, such as CRCM or CCEP
Benefits
401(k)
Dental insurance
Employee discount
Flexible schedule
Health insurance
Life insurance
Paid time off
Referral program
Vision insurance
Company
Madison Medical and Sports Rehabilitation Center
At Madison Medical, our mission is to redefine modern healthcare through a physician-led, multidisciplinary model that prioritizes outcomes, innovation, and an exceptional patient experience.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase