Vice President of Audit and Compliance

Aeroflow Career • Asheville, NC

5d

About The Position

The Vice President of Audit and Compliance leads Aeroflow Health’s healthcare compliance and audit programs across its business units and applicable subsidiaries. Reporting directly to the General Counsel, this role develops practical controls to support compliant operations, accurate billing, and readiness for payer and regulatory review. The leader oversees internal compliance audits, external payer audit responses, investigations, corrective action, and reporting on material risks and program effectiveness.

The role leads a risk-based compliance program, including policies, training, reporting channels, investigations, monitoring, accountability, annual risk assessment, and an audit and compliance work plan. It advises business leaders on requirements affecting DME, telehealth, patient education, and other healthcare services, and coordinates oversight of billing integrity and related controls.

The Vice President directs internal reviews and external payer audit responses, partners with Legal and operational teams on appeals and audit strategy, and ensures findings lead to practical remediation and follow-up testing. The role also oversees investigations and risk escalation, leads and develops audit and compliance personnel, presents risk reports to leadership and authorized governance bodies, and supports privacy-risk coordination, acquisitions, and new services.

Requirements

• Bachelor’s degree in healthcare administration, business, accounting, nursing, or a related field, or an equivalent combination of relevant education and experience.
• At least eight years of progressive healthcare compliance, audit, reimbursement, or regulatory experience.
• At least three years leading a team or a significant enterprise program.
• Substantial experience with Medicare, Medicaid, and commercial payer requirements, healthcare billing and documentation audits, external payer reviews, and corrective action.
• Working knowledge of healthcare fraud and abuse requirements, including the False Claims Act, Anti-Kickback Statute, and applicable state requirements.
• Ability to identify issues requiring legal advice.
• Demonstrated ability to conduct sensitive investigations, analyze claims and operational data, communicate findings clearly, and influence leaders across business functions.

Nice To Haves

• Juris Doctor.
• Experience with DME suppliers, multistate healthcare operations, telehealth, or patient education programs.
• Certified in Healthcare Compliance (CHC).
• Experience improving audit workflows, implementing compliance dashboards, and supporting acquisitions or rapidly growing healthcare organizations.

Responsibilities

• Establish and maintain a risk-based compliance program, including policies, training, reporting channels, investigations, monitoring, and consistent accountability.
• Lead an annual enterprise healthcare compliance risk assessment and maintain an audit and compliance work plan addressing emerging risks and business priorities.
• Advise business leaders on compliance requirements affecting DME, telehealth, patient education, and other healthcare services, in partnership with Legal and clinical leadership.
• Coordinate oversight of billing integrity, documentation, medical necessity, ordering and referring provider requirements, credentialing and enrollment, exclusions screening, and fraud, waste, and abuse controls.
• Direct internal reviews of claims, patient records, orders, authorizations, proof of delivery, and related operational controls across Medicare, Medicaid, and commercial payer programs.
• Lead responses to prepayment and postpayment audits, documentation requests, and corrective action requirements; track deadlines, findings, denials, and outcomes.
• Partner with Legal, Revenue Cycle, clinical teams, and outside advisors on appeal support, disputed findings, repayment analyses, and audit strategy.
• Ensure audit findings identify root causes and practical remediation, with accountable owners, completion dates, and follow-up testing.
• Oversee the compliance reporting process and investigate suspected misconduct, billing concerns, and policy violations, coordinating with Legal, HR, and the Privacy Officer as appropriate.
• Promptly escalate potential overpayments, systemic billing issues, fraud concerns, and significant control failures to the General Counsel; support timely investigation and resolution.
• Maintain complete and objective audit and investigation records and follow Legal’s direction on matters conducted under counsel.
• Lead, coach, and develop audit and compliance personnel; manage priorities, resources, and external support within the approved budget.
• Present risk reports and dashboards to the General Counsel and leadership, and to the board or an appropriate committee as authorized or required.
• Partner with the Privacy Officer on shared risks while retaining responsibility for healthcare compliance and payer audit oversight.
• Support compliance integration for acquisitions and new services.
• Maintain knowledge of and comply with applicable laws, regulations, and policies, including HIPAA and patient confidentiality requirements.

Benefits

• Competitive pay.
• Health plans with FSA or HSA options.
• Dental insurance.
• Vision insurance.
• Optional life insurance.
• 401(k) with company match.
• 12 weeks of parental leave for the birthing parent and 4 weeks for non-birthing parent(s).
• Additional parental benefits, including fertility stipends, free diapers, and a breast pump.
• Paid holidays.
• PTO accrual from day one.
• Employee Assistance Programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive