# Sr. Director, RCM & RPM Audit

**Company:** [OpenLoop](https://hotfix.jobs/companies/openloop)
**Location:** Remote
**Role:** Other
**Experience:** 7+ years
**Skills:** cms billing rules, rpm cpt codes, oig compliance, healthcare auditing, revenue cycle management, coding audit, fda clearance, cpt 99453, cpt 99454, cpt 99457, cpt 99458, telehealth auditing
**Posted:** 2026-07-28

> Senior audit leader providing independent oversight of Revenue Cycle Management and Remote Patient Monitoring functions. Designs/executes audits for coding accuracy, claims integrity, RPM compliance against CMS rules, drives corrective actions, and builds a small audit team while aligning with OIG compliance standards.

## Job Description

## Responsibilities
- Design and execute audit plans testing coding accuracy, claims integrity, and submission quality across the full billing lifecycle for RCM.
- Identify revenue leakage, denial trends, and overpayment exposure.
- Monitor adherence to payer contract terms and flag variances.
- Audit RPM enrollment eligibility, patient consent documentation, and program onboarding against CMS and payer requirements.
- Review time-tracking records and billing submissions for adherence to CPT code time thresholds (CPT 99453, 99454, 99457, 99458).
- Validate that RPM devices carry appropriate FDA clearance and are used within intended use.
- Partner with billing and RCM operations on corrective actions, own follow-through, and confirm remediation.
- Coordinate with Legal on disclosure or self-reporting obligations.
- Deliver independent auditing and monitoring required by OIG Element 6.
- Develop annual audit work plan and present results, trends, and risk ratings to leadership and Compliance Committee.
- Build and lead a small audit team (RCM Audit Lead + RPM Compliance & Audit Analyst).
- Maintain audit-ready documentation and proactively identify systemic risk patterns.

## Requirements
- 7–10 years in healthcare compliance, revenue cycle, or coding audit, with strong domain expertise.
- Demonstrated independence in audit experience separate from compliance program design.
- Deep working knowledge of CMS billing rules and RPM CPT requirements (99453, 99454, 99457, 99458).
- Familiarity with OIG guidance on effective compliance programs (Seven Elements), particularly Element 6.
- Ability to translate audit findings into executive-ready risk summaries.
- Comfortable building a function from the ground up; systems thinker comfortable in ambiguity.
- High integrity, sound judgment, and strong collaboration skills with Billing, RCM Operations, and Legal.

## Nice-to-Haves
- Experience auditing telehealth or remote monitoring programs.
- CPC, CHC, CPCO, AHIMA coding credential, or equivalent.

## Similar roles

- [Director, Investment Solutions](https://hotfix.jobs/jobs/6dffe173-d69b-430e-a4d9-bce77c37cd36) - Farther Finance - New York, NY
- [Head of Events](https://hotfix.jobs/jobs/0942a6af-a90c-4891-81fa-1a981251db0a) - PlanetScale - San Francisco, CA - $180k – $250k/yr
- [Head of Financial Crimes](https://hotfix.jobs/jobs/5c6210a3-66fa-4091-8a43-2803489536c8) - Flex - Remote - $210k – $260k/yr
- [Head of Competitive Intelligence](https://hotfix.jobs/jobs/8f0c14af-561e-46ed-8e47-e88b563df75a) - OpenAI - San Francisco, CA - $347k – $385k/yr
- [Director, Search & Discoverability](https://hotfix.jobs/jobs/a4ddfa81-e235-4db0-a6cb-55af57048c6b) - Grow Therapy - New York, NY - $189k – $231k/yr

**Apply:** https://hotfix.jobs/jobs/ed94df65-60da-420e-b18d-b5938cf26f22
**Canonical:** https://hotfix.jobs/jobs/ed94df65-60da-420e-b18d-b5938cf26f22