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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare compliance, including Medicare RPM billing, HIPAA privacy and security, and FDA device compliance. Proficient in conducting audits, training, and maintaining compliance documentation while ensuring adherence to regulatory standards.
Highest-signal resume keywords
Healthcare ComplianceCPT CodingCertified in Healthcare Compliance (CHC)Audit DocumentationMicrosoft 365 Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medicare RPM Billing ComplianceCPT Code SelectionSecurity Risk AssessmentsClaims AuditsCompliance Training Delivery
Soft Skills
Cross-Functional CommunicationSOP Writing
Tools & Technologies
Healthcare Compliance PlatformsMicrosoft 365
Certifications & Qualifications
Certified in Healthcare Compliance (CHC)Certified in Healthcare Privacy Compliance (CHPC)
Industry Keywords
HIPAAAnti-Kickback StatuteCMS Final RulesOIG Work PlanMAC Local Coverage Determinations
About the role
Key responsibilities & impact- Build, execute, and continuously improve Dozee's healthcare compliance program across Medicare RPM billing, HIPAA privacy and security, FDA device compliance, and Anti-Kickback Statute adherence
- Report to the VP Administration and serve as the primary day-to-day compliance operator
- Own monthly Medicare RPM billing compliance reviews, including CPT code selection, data-day thresholds, mutual exclusivity rules, dual attestation, and 99458 MUE cap enforcement
- Monitor CMS Final Rules, MAC Local Coverage Determinations, and OIG Work Plan items; brief leadership on material changes
- Serve as designated HIPAA Compliance Officer; conduct annual Security Risk Assessments, manage the Notice of Privacy Practices, and oversee BAA lifecycles
- Lead breach investigation and notification workflows
- Maintain the CAIT/Dozee SOP library, annual review cycle, version history, and change logs
- Conduct monthly random-sample claims audits of at least 10% of submitted claims; track findings and corrective actions
- Design, deliver, and track annual compliance training and staff attestations
- Maintain overpayment tracking and ensure refunds within the 60-day statutory deadline
- Monitor state NP practice act changes across operating states and track grant compliance obligations
- Review SNF partner and vendor agreements for Anti-Kickback Statute compliance; maintain contract files and review schedules
Requirements
What you’ll need- Minimum 5 years in healthcare compliance
- Certified in Healthcare Compliance (CHC) required or obtainable within 12 months of hire
- CHPC (privacy) a plus
- Working knowledge of CPT coding (99453–99470), CMS PFS Final Rules, OIG Work Plan, MAC audit processes, and AKS/Stark safe harbors
- Strong SOP writing, audit documentation, and cross-functional communication skills
- Ability to deliver training to clinical and non-clinical staff
- Familiarity with healthcare compliance platforms preferred
- Proficiency in Microsoft 365 required
- Bachelor's degree required; healthcare administration, law, or clinical field preferred
Benefits
Comp & perks- Equal opportunity employer
- Inclusive work environment
- Diversity commitment
