Strategic RCM & Compliance Lead

Essen Healthcare; New York (NY); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Essen Health Care, a leading multispecialty medical group, is seeking a results-driven RCM & Compliance Manager to strengthen revenue cycle operations and regulatory compliance across Nursing Home and Hospitalist divisions. This is a strategic leadership role focused on accurate coding, clean claims, and strong compliance posture.

You will report to senior leadership, bridge clinical documentation and financial performance, and own initiatives that protect patients and the organization while

Qualifications

• Experience in revenue cycle management, compliance, or coding operations within a nursing home, long term care, or hospitalist setting.
• CPC certification (AAPC) preferred, or equivalent coding/compliance credentials (CCS, CPMA, CHC).
• Strong working knowledge of E&M coding, medical record auditing, and CMS billing regulations for skilled nursing facilities and hospitalist services.
• Demonstrated experience with denial management, claims review, appeals, and payer relations.
• Proficiency with EHR systems commonly used in long term care and hospitalist environments, including Sigmacare, PointClickCare, Wellsky, Visual, Epic, and/or Allscripts.

Responsibilities

• E&M documentation audits across nursing home and hospitalist providers.
• Lead care quality audits and implement improvements.
• Oversee and improve RCM workflows to reduce denials.
• Coordinate cross-functional collaboration across clinical and administrative teams.
• Support payer audits and regulatory investigations.

Skills

RCM experience

Compliance knowledge

Coding operations

Analytical skills

Communication skills

Bilingual (English/Spanish)

Education

Bachelor’s degree in Health Administration or related field

CPC certification (AAPC) preferred

Tools

Sigmacare

PointClickCare

Wellsky

Visual

Epic

Allscripts

Job description

Essen Health Care, a leading multispecialty medical group, is seeking a results-driven RCM & Compliance Manager to strengthen revenue cycle operations and regulatory compliance across Nursing Home and Hospitalist divisions. This is a strategic leadership role focused on accurate coding, clean claims, and strong compliance posture.

You will report to senior leadership, bridge clinical documentation and financial performance, and own initiatives that protect patients and the organization while