Director, Compliance

Grade 107

• Job Type: Officer of Administration
• Regular/Temporary:
  Regular
• Hours Per Week: 35
• Salary Range: $150,000 - $160,000

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University’s good faith and reasonable estimate of the range of possible compensation at the time of posting.

The Director of Compliance is a leadership role within the Compliance Department responsible for overseeing and advancing the organization’s professional fee compliance, billing integrity, and regulatory adherence programs. This position directs a broad and comprehensive academic medical center compliance program, ensuring compliance with CMS regulations, federal and state laws, and applicable coding guidelines. The Director contributes to the success of CUIMC’s mission by providing strategic direction and operational leadership for a team of compliance professionals, supporting provider education and dispute resolution, and partnering closely with Revenue Cycle, Clinical Departments, Legal, and Leadership to mitigate risk and promote compliant billing practices across a large academic medical center.

Compliance Program Leadership

• Support the Chief Compliance Officer in advancing CUIMC’s Compliance Program.
• Monitor the Compliance Program, including reporting metrics, and develop regular reporting materials for the Clinical Compliance Committee and Board.
• Represent Compliance on University committees including the Ambulatory Care Network, Tripartite Compliance Committee, and others.
• Lead and develop a team of compliance professionals (auditors, analysts, educators), setting priorities aligned with organizational risk.
• Oversee audit program design and execution, including statistically valid sampling, targeted audits, and corrective action plans.

Revenue Integrity & Regulatory Expertise

• Serve as the final decision‑maker on complex coding, billing, and documentation issues, including interpretation of CMS regulations, NCCI edits, LCDs/NCDs, CPT/AMA guidelines, and payer policies.
• Provide authoritative guidance on professional fee billing, including global surgical package rules, modifier usage, incident‑to services, split/shared services, and emerging regulatory changes.
• Monitor and interpret evolving federal and state regulations; translate requirements into actionable compliance strategies.

Audit, Monitoring, and Systems Expertise

• Design and implement risk‑based technical and professional billing compliance auditing program.
• Provide oversight of audit tools and technologies, ensuring effective use of audit software platforms and data analytics tools.
• Leverage EPIC EHR expertise to support audit workflows, documentation review, and reporting capabilities.
• Partner with Departmental and Revenue Cycle teams to enhance system controls, edits, and compliance‑related configurations.
• Analyze audit and billing data trends to identify systemic risks and opportunities for improvement.

Provider Engagement & Dispute Resolution

• Facilitate resolution of complex or sensitive issues with physicians and clinical leadership, balancing compliance requirements with operational realities.
• Deliver clear, credible, and diplomatically communicated guidance to gain provider alignment.

Education & Communication

• Prepare and oversee the execution of employee training programs and materials to make sure all staff levels are aware of compliance guidelines.
• Develop and deliver compliance education to physicians, departments, and leadership on compliance risks and regulatory updates.
• Promote a culture of compliance through proactive engagement and transparent communication.

Strategic Leadership & Collaboration

• Partner with senior leaders across Compliance, Revenue Cycle, Legal, and Clinical Departments to align on enterprise risk priorities.
• Contribute to strategic planning and resource allocation within the Compliance Department.
• Support external audits, regulatory inquiries, and investigations as needed.

• Bachelor’s…