Hospice Clinical Compliance & Audit Associate Director

🕒 Junho 5

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Ennoble Care

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Ennoble Care, onde nossa missão é "Cuidar é uma Honra", é um serviço de cuidados primários, paliativos e de hospício baseado na comunidade que oferece cuidados a pacientes e famílias. Temos profissionais de saúde em Nova York, Nova Jérsei, Maryland, DC, Virgínia e Geórgia, licenciados e comprometidos em fornecer a você um atendimento excepcional.

Descrição

• Conduct pre-bill clinical chart audits to ensure compliance with Medicare hospice regulations • Validate documentation supporting terminal prognosis, eligibility, and level of care • Review face-to-face encounters, certifications, and recertifications • Identify and escalate compliance risks prior to claim submission • Provide ongoing education and guidance to Intake teams on eligibility and documentation standards • Ensure eligibility criteria are clearly supported and documented • Partner with intake teams to resolve documentation gaps in real time • Perform focused pre-bill audits in preparation for and response to external audits • Monitor findings and identify trends requiring corrective action • Support preparation, response, and coordination for external audits (including TPE-related activity) • Track audit outcomes and identify trends • Maintain audit tools and reporting mechanisms • Communicate findings to leadership • Translate audit findings into actionable feedback • Assist in development of education materials • Partner with clinical leadership to improve documentation • Work closely with Compliance, Clinical, Revenue Cycle, and Intake teams • Support audit readiness • Promote a culture of compliance

🎯 Requisitos

• RN required • Bachelor’s degree preferred • 5+ years hospice experience • 3+ years compliance/audit experience

🏖️ Benefícios

• Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity. • Paid Time Off • Paid Office Holidays • Paid Sick Time • 401(k) with up to 3% company match • Referral Program • Payactiv: pay-on-demand. Cash out earned money when and where you need it!