Full job description Overview: The Compliance Coordinator is responsible for auditing identified compliance concerns, assisting in development and updating of policies and procedures and education material, as well as supporting the Compliance Department with other various compliance related projects
Reports To: VP of Quality Assurance & Compliance Auditing
Pay Rate: $33-$38 per hour
Responsibilities: Principal Responsibilities and Duties: Perform compliance audits, data analysis, and monitoring activities across the Company to ensure data integrity, and compliance with federal and state regulations pertaining to, but not limited to: human capital, medical record documentation, coding and billing, and conflict of interest. Assists in response to and investigation of allegations of non-compliance and ensures allegations, concerns or questions relating are routed appropriately. Conducts research and acts as a subject matter expert regarding compliance matters. Supports compliance measures in all EMR platforms. Supports the Compliance leadership in developing, implementing, and maintaining the Company audit and Work Plan. Conducts assigned projects successfully from beginning to end within designated timeframes. Identifies and communicates issues and concerns raised, offering recommended solutions to improve processes and promote compliance. Audits and/or monitoring activities may include, but are not limited to medical documentation, coding, billing and general compliance. Develop and track compliance corrective action plans that result from audits. Prepares clear and concise project communications, documents and reports. Monitors payor, federal, state, and local Medicare contractor regulations for compliance related changes that may impact the organization. Performs compliance awareness and training as needs are identified or requested Assists Compliance team with other duties as assigned. Work Environment This job operates remotely in the associate's home office with field travel to support compliance team initiatives as assigned. This role routinely uses standard office computer equipment such as laptops, software programs, etc.
Position Type/Expected Hours of Work This is a full-time salaried position. Some flexibility in specific work hours is allowed, and must work required hours each week to maintain full-time status.
Travel Must be willing to travel overnight frequently as needed.
HIPAA & THE MINIMUM NECESSARY STANDARD The Employee shall maintain the confidentiality of all protected health information (PHI) whether electronic, written or oral to which he/she may be exposed either during the course of their duties or the result of an incidental disclosure. In accordance with the minimum necessary standard, the employee may only access PHI to perform the job as a Senior Vice President Quality Assurance & Compliance. The minimum necessary standard must be applied in all matters and shall continue privacy protection during non-working hours and after employment is no longer with the company.
Other Duties This job description does not list all the duties of the job. You may be asked by the supervisors or managers to perform other duties. You will be evaluated in part based upon your performance of the tasks listed in this job description.
EEO Statement HealthPRO Heritage and its subsidiaries provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, HealthPRO Heritage and its subsidiaries comply with applicable state and local laws governing nondiscrimination in employment in every location in which the company facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Qualifications: Knowledge, Skills, and Experience Required: A minimum of three (3) years of experience in health care facilities, outside regulatory agencies, compliance or healthcare auditors is required. Proven leadership skills in the healthcare field. Knowledge of and ability to perform skills related to planning, auditing, and educating. Excellent communication and interpersonal skills. Must be able to communicate effectively with residents, responsible parties, communities, personnel and support agencies. Proficient use of personal computer and software applications used in job functions including but not limited to word processing, graphics, databases, spreadsheets, and electronic medical record systems. Working knowledge of navigating business intelligence and other data analytics platforms is preferred. Should possess a thorough knowledge of Medicare, Medicaid, private pay, and any other governmental and regulatory agencies involved in skilled nursing, senior living, outpatient, pediatrics, and home health care. Should possess a good working knowledge of Medicare/PDPM/PDGM, Managed Care, value-based care or any other reimbursement systems as it relates to industry regulation affecting the organization as well as upstream and downstream partners. Able to adapt to changes in the work environment, can handle various demands and unexpected events. Maintain confidentially of company employee information. Attention to detail to ensure accuracy and completion. Identifies problems and resolves them in a timely manner. Prioritizes work activities to ensure all tasks are completed in a timely manner.
Physical Demands The person performing these duties should be in good physical condition and possess the capabilities, with or without reasonable accommodations.
Must be able to talk or hear and use hands to touch, handle or feel Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus Use of body mechanics and techniques for bearing weight Ability to sit for extended periods of time Ability to work on computer for extended periods of time Must be able to stoop and reach when performing daily work Recruiter : Email Address:
