Compliance Education Manager

Title:

Compliance Education Manager

Location:

Midtown

Org Unit:
The Office of Compliance

Work Days:

Weekly

Hours:

35.00

Exemption Status:

Exempt

Salary Range:$-$

* As required under NYC Human Rights Law Int  - Salary range for this role when Hired for NYC Offices

The Compliance Education Manager plays a critical role in aligning education and audit strategies to support the compliance framework. This role is responsible for designing, managing, and evaluating comprehensive billing, coding, clinical documentation, and all other related education programs across departments, in accordance with the Professional Services Compliance Plan and the broader compliance framework
. Functioning within the Second Line of Defense
, the Manager collaborates with operational leaders (First Line) to ensure robust compliance education strategies that mitigate risk and foster a culture of accountability.

• Collaborate with the development, delivery, & evaluation of the centralized compliance education initiatives, with a strong focus on billing, coding, & documentation accuracy, & fully support the creations & implementation of a compliance education program
• Oversee provider compliance onboarding and provide individualized compliance orientations tailored to specialty, departmental needs, and risk exposure.
• Develop and maintain educational materials, tools, and presentations based on federal and state regulatory updates, payer guidance, and internal audit findings.
• Maintain the education database and monitor completion of compliance and privacy training and education requirements.
• Report on trends and outstanding compliance training to departmental leadership.
• Partner with audit teams to translate audit findings into targeted education, addressing root causes of documentation and coding deficiencies.
• Manage and track Compliance Audit Reports and Management Action Plans, ensuring timely follow-up and resolution.
• Provide direct, one-on-one, and group education on audit outcomes and conduct ad hoc training upon request or based on risk triggers.
• Conduct and oversee workshops, webinars, and training on complex billing, documentation, and regulatory topics, including surgical and specialty coding, and policy requirements.
• Serve as a liaison to departments conducting compliance-related activities to provide guidance and support related to clinical documentation improvement, and coding reviews.
• Support departmental operational onboarding and help elevate and resolve non-compliance with educational requirements.
• Review and approve departmental education materials that include compliance or privacy topics, ensuring consistency and alignment with institutional standards.
• Conduct monthly compliance education and oversight meetings with assigned departments, identifying educational gaps and supporting action plans.
• Contribute to quarterly and annual compliance reporting, highlighting educational trends, gaps, and the impact of training programs.
• Ensure integration of compliance education into institutional improvement initiatives and quality metrics.
• Participate in management sanction screening, OIG/OMIG compliance monitoring, and payer-related audit education initiatives as required.
• Performs other related duties as assigned

• Bachelor’s degree required
• Master's Degree preferred

• Equivalent combination of education and experience may be considered.
• Minimum 5+ years of medical coding experience.
• At least 3+ years of auditing experience, with a strong background in professional billing compliance.
• At least 2+ years of experience managing compliance staff or leading educational initiatives.
• Experience in a healthcare compliance department and working knowledge of Epic preferred.

• Deep knowledge of billing, coding, and documentation regulations (CMS, OIG, payer-specific).
• Proven ability to develop and deliver high-impact training across diverse clinical audiences.
• Skilled in interpreting audit data and translating results into effective educational interventions.
• Strong communication and interpersonal skills; able to build trusted relationships across all organizational levels.
• Demonstra…