EMS Compliance Officer

Wake County; Raleigh (NC); On-site; USD 95,000 - 128,000; Full time

Job summary

Wake County EMS is seeking a billing/audit professional to review patient care reports and claims for medical necessity. The role focuses on compliance, audits, and reporting, with responsibility for addressing denials, monitoring high-value codes, and working with the billing vendor to implement fixes.

You will lead annual risk assessments, update policies, and deliver training on documentation, billing and privacy. The position supports OSHA compliance and may involve safety investigations.

Qualifications

• Associate's degree in Public Safety, Healthcare, Management or related field.
• Five Years of Public Safety or Military Experience is also required in the baseline qualifications.

Responsibilities

• Audit EMS billing and coding from the patient care report to the claim, including whether the care billed was medically necessary.
• Watch the billing data (denials, high-value codes, outliers), build billing compliance metrics and brief leadership on what they show.
• Hold our billing vendor accountable and report what you find.
• When an audit finds a problem, lead the response: investigate, find the root cause, make sure overpayments are repaid on time, and fix the process.
• Run our annual compliance risk assessment and keep the EMS risk register current, including billing and HIPAA privacy risks.
• Keep policies current, deliver training on documentation, billing, and privacy, and keep reporting channels open for people who speak up.
• Support OSHA compliance, injury prevention and safety incident investigations
• Step into the Emergency Operations Center or operational safety officer role during major events

Skills

Billing & Coding

Auditing

Compliance

HIPAA Privacy

OSHA Compliance

Training & Documentation

Education

Associate's degree in Public Safety, Healthcare, Management or related field

Job description

What You'll Be Doing

Every Wake County EMS response ends with a patient care report, and that report becomes a claim. Billing is where our compliance risk is highest, and we need someone who knows healthcare billing and coding well enough to read a claim the way an auditor would.

Every Wake County EMS response ends with a patient care report, and that report becomes a claim. Billing is where our compliance risk is highest, and we need someone who knows healthcare billing and coding well enough to read a claim the way an auditor would. This isn't a back-office role. Our compliance program follows the seven elements in federal OIG guidance, and you'll keep it working: independent audits, honest reporting to leadership, and fixes that stick.

What You'll Own

• Audit EMS billing and coding from the patient care report to the claim, including whether the care we billed was medically necessary


• Watch the billing data (denials, high-value codes, outliers), build billing compliance metrics and brief leadership on what they show


• Hold our billing vendor accountable and report what you find


• When an audit finds a problem, lead the response: investigate, find the root cause, make sure overpayments are repaid on time, and fix the process


• Run our annual compliance risk assessment and keep the EMS risk register current, including billing and HIPAA privacy risks


• Keep policies current, deliver training on documentation, billing, and privacy, and keep reporting channels open for people who speak up


• Support OSHA compliance, injury prevention and safety incident investigations


• Step into the Emergency Operations Center or operational safety officer role during major events

Why Wake County EMS

Integrity, accountability and continuous improvement aren't posters on the wall here, they're how we run the system. You'll work with people who take the mission seriously, and your work will have visible, real-world stakes.

About

Wake County EMS is a cutting-edge emergency medical services system that is responsible for providing EMS services throughout Wake County including within each of the county’s 12 local municipalities. We have well-developed mobile integrated health (community paramedicine) and research programs. We responded to over 140,000 requests for 911 EMS services in 2025. We greatly value the enrichment we receive through diversity in our staff, and we are continuously working to enhance that diversity and create spaces where all employees can thrive.

Required

The Basics (Required Education and Experience)

• Associate's degree in Public Safety, Healthcare, Management or related field


• Five Years of Public Safety or Military Experience


• Valid Driver's License and \"safe\" driving record


• Equivalent education and experience are accepted


• Please include ALL prior work experience on your application and resume.

Beyond the Basics (Preferred Education and Experience)

• Experience in medical billing, coding or auditing, especially ambulance or EMS claims under Medicare and Medicaid


• Experience overseeing a compliance program that includes respiratory protection and bloodborne pathogens


• Bachelor's degree in EMS or Compliance


• CHC (Certified in Healthcare Compliance) or CPHRM (Certified Professional in Healthcare Risk Management)


• A professional coding credential (such as CPC or CCS)

About This Position

Location: Public Safety Center Raleigh, NC 27601

Employment Type: Regular

Work Schedule: 40 Hours per week - Typically Mon - Fri including potential weekends

Hiring Range: 94,918.00 - 128,139.00

Market Range: 94,918.00 - 161,359.00

Please include ALL prior work experience on your application and resume.

Posting Closing Date: 7:00 pm on 12/4/2026

What Makes Wake Great

Consistently ranked high among the best places to live and work in America, Wake County is the proud home to NC State University, Research Triangle Park, and the two-time Stanley Cup Champion Carolina Hurricanes, winners in 2006 and 2026. In addition to being Wake County’s seat of government, Raleigh is also the center of state government, with the Capitol Building, legislature and many state government offices located in Raleigh. With an estimated population of just over 1.2 million residents, Wake County is North Carolina’s most populous county. Entertainment, recreation, and art and culture abound with the North Carolina Museum of Art, JC Raulston Arboretum, and the Neuse River Trail all in the heart of Wake County. Wake County uses the Council/Manager form of government. Currently, the seven members of the Board of Commissioners are elected by district on a partisan basis and serve four-year terms. Starting in fall 2026, the Wake County Board will have seven commissioners elected by voters in their districts and two at-large commissioners elected by the whole County. The County is regarded as a fiscally responsible and well‑managed government, enjoying a AAA bond rating. The County’s FY2027 General Fund budget is approximately $2.28 billion, and the County has more than 5,000 full time employees. Wake County Government came in at #2 on the Healthiest Employers list for 2024. This year, US News & World Report ranked Raleigh #5 on its list of Best Places to Live, and the Milken Institute ranked Raleigh #1 on its 2025 list of Best-Performing Cities.

Equal Opportunity Statement

Wake County provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

Background Check Statement

Position may require a background check that may include: criminal, credit, motor vehicle, education, and sexual offender registry or others based on job requirements. Unless required by state law, a record of conviction will not automatically exclude you from consideration for employment. Wake County Government is an Equal Opportunity Employer.

Emergency Service Worker Statement

In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.