[Hiring] Senior Manager, Compliance & Audit @Sound Physicians

Role Description

The Senior Manager, Compliance & Compliance Audit is responsible for overseeing the day-to-day operations of the enterprise compliance audit and monitoring program, including:

• Professional coding and billing audits
• Regulatory compliance reviews
• Risk assessments
• Corrective action monitoring
• Compliance investigations related to clinical documentation and billing integrity

This role serves as a strategic compliance leader and subject-matter expert responsible for:

• Identifying regulatory and operational risks
• Supporting enterprise compliance initiatives
• Ensuring adherence to federal and state healthcare regulations, payer requirements, contractual obligations, and organizational policies

The Senior Manager partners closely with:

• Compliance leadership
• Revenue Cycle
• Medical Directors
• Coding Compliance Educators
• Clinical Documentation Optimization Champions (“CDOCs”)
• Operations
• Legal
• Executive Leadership

This role protects Sound Physicians from regulatory exposure, strengthens audit defensibility, reduces financial risk, and enhances enterprise-wide compliance oversight through proactive risk identification and structured internal controls.

The individual in this role will oversee compliance auditors, report to the Director of Compliance & Compliance Audit, and collaborate with stakeholders and coding compliance educators.

Qualifications

• Strong knowledge of professional and hospital billing compliance
• Medicare and Medicaid regulations
• Healthcare revenue cycle operations
• Coding and documentation requirements
• Compliance auditing methodologies
• Regulatory investigations and corrective action processes
• Advanced understanding of ICD-10-CM, CPT, and HCPCS coding guidelines
• Knowledge of healthcare compliance frameworks and internal controls
• One or more of the following: RHIA, RHIT, CCS, CPC, CCS-P, CHC (CPC preferred)
• Advanced knowledge of Medicare and Medicaid program rules and regulations

Requirements

• Bachelor’s degree in healthcare administration, Health Information Management, Nursing, Business, Compliance, or a related field, or equivalent combination of experience/training in a professional and/or hospital revenue cycle setting
• 7+ years of healthcare compliance, coding compliance, auditing, or revenue cycle compliance experience
• 3+ years of leadership or management experience preferred
• Experience conducting coding and billing compliance audits for professional and/or hospital services
• Experience with audit software, reporting tools, and compliance analytics platforms

Benefits

• Medical insurance, Dental insurance, and Vision insurance
• Health care and dependent care flexible spending account
• 401(k) retirement savings plan with a company match
• Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year
• Ten company-paid holidays per year

Company Description

Founded in 2001 and headquartered in Nashville, TN, Sound Physicians is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. Our team of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission:

to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone – no matter who they are or where they live.