Compliance Director - Chicago

Job Title: Director of Compliance & Clinical Documentation Integrity
Location: Chicago, IL (hybrid onsite 3 days/week)

Position Summary

Neolytix is launching an integrated Documentation Audit & Compliance Program that pairs our NeoScribe™ ambientAI platform with dualcoder audits and CDI coaching for midmarket healthcare groups.

The Director of Compliance will design, govern, and continuously improve this program, ensuring every engagement meets or exceeds OIG, CMS, HIPAA, and payer standards while delivering measurable riskreduction for clients.

Key Responsibilities

Domain

Core Duties

Governance & Policy

• Own the corporate compliance framework mapped to the OIG 7Element model.
• Draft, update, and enforce documentation, coding, and audit policies—including functional separation of CDI vs. billing teams.
• Chair the monthly Compliance Steering Committee; deliver boardlevel risk reports.

Audit Program Leadership

• Architect the dualcoder clinician review methodology (baseline, concurrent, retrospective).
• Approve audit sampling plans, tolerance thresholds, and correctiveaction workflows.
• Oversee immutable auditlog retention.

Client Liaison & Advisory

• Serve as primary compliance contact for client CEOs/CMOs during onboarding and external payer audits.
• Present quarterly compliance dashboards and KPI outcomes (errorrate, denialrate, passrate).

AI & Data Oversight

• Partner with Product to validate NeoScribe prompt updates; ensure AI output aligns with CMS medicalnecessity guidelines.
• Review anomalydetection models and escalation rules for potential upcoding/downcoding flags.

Training & Culture

• Develop microlearning modules (15 min) and CMEeligible webinars on documentation best practices.
• Mentor offshore coding QA teams; certify adherence to AAPC/AHIMA ethical standards.
• Maintain anonymous hotline & nonretaliation process.

ThirdParty Assurance

• Select and manage independent firms for annual 200chart spot checks.
• Coordinate SOC 2/HITRUST evidence related to documentation and coding workflows.

Regulatory Monitoring

• Track new CMS, OIG IndustrySpecific CPG, and state regulations; update policies within 60 days of issuance.

Required Qualifications

• Education: Bachelor’s in Health Information Management, Nursing, or related field.
• Certifications (any two): CHC, CPC, CCS, RHIA/RHIT, CCDS, COC.
• Experience:
• 8  yrs leading compliance or audit functions in provider or RCM settings.
• Demonstrated success defending RAC/MAC, UPIC, or commercial payer audits.
• Handson design of documentation or coding QA programs (≥10,000 encounters/month).
• Regulatory Mastery: HIPAA, HITECH, CMS E/M & HCC guidelines, OIG CPG.
• Technical: Experience with multiple EHR's, familiarity with AI/ML concepts in clinical documentation.
• Soft Skills: Executive presence, persuasive communication, changemanagement, and crosscultural team leadership.

Preferred Extras

• Clinical credential (RN, NP, PA, MD/DO)
• Prior experience with ambientscribe or voiceAI technologies
• SOC 2 or HITRUST audit participation
• Lean Six Sigma or similar processimprovement certification

Success Metrics

KPI

Target

Coding error rate across all audited clients - ≤ 3 %

External audit pass rate - ≥ 95 %

Denial reduction (coding/medical necessity) - ≥ 25 % vs. baseline

Policy update turnaround after new regulation - ≤ 60 days

Client NPS for compliance advisory - ≥ 70

Travel & Work Environment

• Up to 25 % travel for client kickoffs, payer meetings, and audit defense.
• Chicago HQ office presence required weekly; remote collaboration with global coder teams in India & the Philippines.

Compensation & Benefits

• Base salary: $150 k – $185 k DOE performance bonus (up to 20 %).
• Comprehensive medical, dental, vision; 401(k) with match; paid leaves.
• Professional development stipend for certifications.

Travel & Work Environment

• Up to 25 % travel for client kickoffs, payer meetings, and audit defense.
• Chicago HQ office presence required weekly; remote collaboration with global coder teams in India & the Philippines.

Compensation & Benefits

• Base salary: $150 k – $185 k DOE performance bonus (up to 20 %).
• Comprehensive medical, dental, vision; 401(k) with match; paid leaves.
• Professional development stipend for certifications.

Equal Opportunity

Neolytix is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

• Ready to safeguard the integrity of AI powered documentation for thousands of providers?
• Send your résumé and a 1page summary of a recent audit defense you led to careers@neolytix.com (cc ronel@neolytix.com) with the subject “Director of Compliance – Chicago.”

Job Type: Full-time

Pay: $150,000.00 - $185,000.00 per year

Benefits:

• Health insurance

Schedule:

• 8 hour shift
• Monday to Friday
• Night shift

Application Question(s):

• How many years of experience do you have leading compliance or audit functions within provider or Revenue Cycle Management (RCM) settings?
• Have you had experience in defending against audits conducted by RACs, MACs, UPICs, or commercial payers?
• Do you have experience with hands on design of documentation or coding QA programs?
• What's your expected salary range? (Annually)

Ability to Commute:

• Chicago, IL 60606 (Preferred)

Ability to Relocate:

• Chicago, IL 60606: Relocate before starting work (Preferred)

Work Location: Hybrid remote in Chicago, IL 60606

Salary : $150,000 - $185,000