Dozee

Contactless AI-powered hospital patient monitoring

Healthcare Compliance Manager

Regulatory Compliance & EthicsUpdated on Nov 13

Full-timeTexas, USANo salary listedRemote

About the Job

Requirements

A minimum of 5 years of experience in healthcare compliance; experience with Medicare billing, HIPAA, or a post-acute or remote patient monitoring environment is strongly preferred.
Certified in Healthcare Compliance (CHC) certification is required or must be obtainable within 12 months of hire.
Working knowledge of CPT coding (99453–99470), CMS Physician Fee Schedule Final Rules, the Office of Inspector General Work Plan, Medicare Administrative Contractor audit processes, and Anti-Kickback Statute and Stark Law safe harbors.
Strong SOP writing and audit documentation skills.
Ability to deliver training to clinical and non-clinical staff.
Proficiency in Microsoft 365 is required.
A bachelor's degree is required.

Responsibilities

Own the monthly billing compliance review cycle by validating CPT code selection (99453–99470), data-day thresholds, and mutual exclusivity rules before claims are released.
Monitor CMS Final Rules, Medicare Administrative Contractor Local Coverage Determinations, and Office of Inspector General Work Plan items affecting remote patient monitoring billing, and brief leadership on material changes within 30 days.
Maintain the pre-bill dual-attestation workflow and enforce the 99458 medically unlikely edit cap and time-counting rules.
Serve as the designated HIPAA Compliance Officer by conducting annual Security Risk Assessments, managing the Notice of Privacy Practices, and overseeing the business associate agreement lifecycle for vendors and skilled nursing facility partners.
Lead breach investigation and notification workflows and coordinate with external legal counsel on reportable incidents.
Own and maintain the SOP library, initiating updates within 30 days of material regulatory changes.
Manage the annual SOP review cycle, obtain CEO and VP sign-off, and track version history and change logs.
Conduct monthly random-sample claims audits of at least 10% of submitted claims, verifying documentation completeness, code accuracy, and consent and care-plan compliance.
Track audit findings in the Compliance Tracking Log, escalate repeat findings to VP Administration, and implement and verify corrective actions within agreed timelines.
Design, deliver, and track annual compliance training for clinical, billing, and administrative staff covering CMS billing rules, HIPAA, the Anti-Kickback Statute, and the OIG RPM Compliance Framework.
Maintain training attestation records in Circle Health Domain 0.2 and generate annual compliance attestation reports for the VP and CEO.
Maintain the Overpayment Tracking Log and ensure identified overpayments are investigated, classified as isolated or systemic, and refunded within the 60-day statutory deadline.
Coordinate with the Billing Manager on Medicare Administrative Contractor refund submissions and consult legal counsel on systemic overpayments before refund.
Monitor applicable state nurse practitioner practice act changes across the six operating states and expansion targets.
Track RHTP, THRIVE, and NIH grant compliance obligations as the organization enters new government programs.
Review skilled nursing facility partner and vendor agreements against the Anti-Kickback Statute checklist before execution, escalating fair market value or referral-contingency concerns to VP Administration and legal counsel.
Maintain executed contract files and the annual contract review schedule.

Desired Qualifications

Healthcare administration, law, or a clinical field is a preferred area of study, though the posting does not explicitly state that a degree in these fields is required.
CHPC privacy certification is a plus.
Familiarity with healthcare compliance platforms is preferred.

Overview :

Dozee is an FDA-cleared, contactless remote patient monitoring platform — a patented, under-mattress sensor delivering hospital-grade telemetry so care teams catch deterioration earlier and act sooner.

Position Summary:

The Compliance Manager is responsible for building, executing, and continuously improving Dozee's
healthcare compliance program across all regulatory domains — Medicare RPM billing, HIPAA privacy and
security, FDA device compliance, and Anti-Kickback Statute adherence. The role reports to the VP
Administration and is the organization's primary day-to-day compliance operator, translating policy into
procedure and ensuring every business function performs within established legal and regulatory boundaries.

Responsibilities

1. CMS / Medicare RPM Billing Compliance
• Own the monthly billing compliance review cycle — validate CPT code selection (99453–99470), data-day thresholds, and mutual exclusivity rules before claims are released.
• Monitor CMS Final Rules, MAC Local Coverage Determinations (LCDs), and OIG Work Plan items affecting RPM billing; brief leadership on material changes within 30 days.
• Maintain the pre-bill dual-attestation workflow and enforce the 99458 MUE cap and time-counting rules.

2. HIPAA Privacy & Security Program
• Serve as Dozee's designated HIPAA Compliance Officer — conduct annual Security Risk Assessments, manage the Notice of Privacy Practices, and oversee BAA lifecycle for all vendors and SNF partners.
• Lead breach investigation and notification workflows; coordinate with Melvin Law Group on any reportable
incident.

3. SOP Development & Version Control
• Own and maintain the full SOP library (currently seven SOPs, v2.1) — initiate updates within 30 days of any material regulatory change.
• Manage the annual SOP review cycle; obtain CEO and VP sign-off; track version history and change logs.

4 .Internal Audit — Monthly Claims Sampling
• Conduct monthly random-sample claims audits (minimum 10% of submitted claims) — verify documentation completeness, code accuracy, and consent/care-plan compliance.
• Track audit findings in the Compliance Tracking Log; escalate repeat findings to VP Administration; implement and verify corrective actions within agreed timelines.

5. Staff Training & Annual Attestation
• Design, deliver, and track annual compliance training for all clinical, billing, and administrative staff — covering CMS billing rules, HIPAA, AKS, and the OIG RPM Compliance Framework.
• Maintain training attestation records in Circle Health Domain 0.2; generate compliance attestation reports for VP and CEO annually.

6. Overpayment Management — 60-Day Rule Enforcement
• Maintain the Overpayment Tracking Log; ensure all identified overpayments are investigated, classified (isolated vs. systemic), and refunded within the 60-day statutory deadline.
• Coordinate with the Billing Manager on MAC refund submissions; consult Melvin Law Group on any systemic overpayment before refund.

7. Regulatory Intelligence & State Monitoring
• Monitor applicable state NP practice act changes across CAIT's six operating states (TX, OH, PA, FL, NY,
MO) and Dozee's expansion targets.
• Track RHTP, THRIVE, and NIH grant compliance obligations as Dozee enters new government programs.

8. Contract & AKS Compliance Support
• Review all SNF partner and vendor agreements against the Anti-Kickback Statute checklist before execution; escalate any FMV or referral-contingency concerns to VP Administration and Melvin Law Group.
• Maintain executed contract files and the annual contract review schedule.

Requirements

Experience : Minimum 5 years in healthcare compliance — Medicare billing, HIPAA, or post-acute / RPM environment strongly preferred.

Certifications: Certified in Healthcare Compliance (CHC) required or obtainable within 12 months of hire. CHPC (privacy) a plus.

Technical : Working knowledge of CPT coding (99453–99470), CMS PFS Final Rules, OIG Work Plan, MAC audit processes, and AKS/Stark safe harbors.

Skills : Strong SOP writing, audit documentation, and cross-functional communication skills. Ability to deliver training to clinical and non-clinical staff.

Systems : Familiarity with healthcare compliance platforms (preferred); proficiency in Microsoft 365 required.

Education : Bachelor's degree required; healthcare administration, law, or clinical field preferred.

We’d love to hear from you. Send a short note and a few pieces of work you’re proud of to [email protected], or learn more at www.dozee.us.

Disclaimer : Dozee is an equal-opportunity employer. We welcome and value people of every background, and we’re committed to a fair, inclusive hiring process.

About the Company

Dozee

Contactless AI-powered hospital patient monitoring

Dozee (Turtle Shell Technologies) provides remote patient monitoring using a contactless AI-powered sensor that tracks vital signs such as heart rate, respiration, sleep, and stress without touching the patient. The non-contact device collects data in the patient’s environment and AI analyzes it to generate real-time health insights and early warnings for clinicians. It is designed for hospitals to enable continuous, non-intrusive monitoring and supports care from hospital to home. Its differentiator is sleep-focused, non-contact data collection paired with AI-driven insights and a hospital-to-home care model aimed at earlier detection of deterioration and better clinical decision-making.

Company size: 201-500
Company stage: Early VC
Total funding: $30.9M
Headquarters: Bengaluru, India
Founded: 2015

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