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Compliance Officer - HIPAA, Prior Authorization & Billing
Orange Tree Systems
Lahore
On-site
Full-time
1-2 Years
5 days ago
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Compliance Officer

We're hiring a Compliance Officer to own the regulatory backbone of our healthcare operations across HIPAA, prior authorization, and medical billing. This is a high-impact role at the intersection of patient privacy, payer regulations, and revenue integrity. You'll build and enforce the policies that protect patient data, keep our authorization workflows audit-ready, and ensure every billed claim meets federal, state, and payer standards.

If you live for clean audits, hate sloppy documentation, and want to be the person leadership trusts when the regulators come knocking, this is your seat.

Requirements
  • Bachelor's degree in Healthcare Administration, Nursing, Law, Business, or related field
  • 5+ years of compliance experience in a healthcare, payer, or revenue cycle environment
  • Deep working knowledge of HIPAA Privacy & Security Rules, prior authorization regulations, and U.S. medical billing/coding standards (ICD-10, CPT, HCPCS)
  • Experience conducting risk assessments, internal audits, and breach investigations
  • Familiarity with CMS, OIG, OCR, and commercial payer audit processes
  • Strong written communication: you can write a policy a nurse will actually read and an audit response a regulator will accept
  • Discretion, judgment, and the spine to escalate uncomfortable findings
Preferred Qualifications
  • Certifications: CHC (Certified in Healthcare Compliance), CHPC (Certified in Healthcare Privacy Compliance), CHPS, CPC, CCS, or CIPP/US
  • Experience with EHR/EMR systems (Epic, Cerner, athenahealth), claims platforms, and GRC tools
  • Prior exposure to utilization management or pharmacy benefit management (PBM) compliance
  • Experience drafting and negotiating Business Associate Agreements
  • Knowledge of state-specific privacy laws (CCPA, NY SHIELD, Texas Medical Records Privacy Act, etc.)

Timings: 6:00 PM - 3:00 AM

Location: Lake City, Lahore