Hospice Clinical Compliance & Audit Associate Director

🕒 il y a 20 jours

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Ennoble Care

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201 - 500 employés

Ennoble Care, où notre mission est «Prendre soin est un honneur», est un service de soins primaires, palliatifs et d'hospice basé sur la communauté, offrant des soins aux patients et aux familles. Nous avons des cliniciens à travers New York, New Jersey, Maryland, DC, Virginie et Géorgie, qui sont agréés et engagés à vous fournir des soins exceptionnels.

Description

• 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

🎯 Exigences

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

🏖️ Avantages

• 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!