Das ist der Job
Audit & Control Maintenanc
Darum lohnt es sich
Job Description Summary
The AI RCM Compliance Director acts as a senior individual contributor embedding regulatory logic directly into the RCM AI Platform lifecycle. This role shifts compliance "left" by converting abstract billing regulations into programmatic architectural requirements.
As the primary technical gatekeeper, you will engineer the guardrails and metadata frameworks necessary to ensure all AI-generated outputs are accurate, auditable, and legally defensible. Responsibilities AI Architecture Compliance: Review technical requirements to ensure the AI Platform is built according to current coding and billing regulations.
Data Integrity & Privacy: Determine appropriate and compliant data for use in modeling, ensuring patient privacy and billing integrity are maintained throughout development. Output Governance: Review and approve recommendations made by AI assistants or agents; define necessary caveats and guardrails for AI-generated outputs to meet legal standards.
Regulatory Risk Assessment: Continuously assess the RCM regulatory landscape - including payer requirements and coding updates - to identify risks specific to automated workflows. Cross-Functional Alignment: Act as a collaborative "defensive" expert between Legal, Compliance, and RCM Operations to align on the organization’s AI risk tolerance.
