Senior Compliance Auditor – RN

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🔥 0 minutes ago

🏈 Ohio, Texas – Remote

🏈 Ohio – Remote 🤠 Texas – Remote

💵 $80k - $90k / year

⏰ Full Time

🟠 Senior

🔎 Auditor

👻 Ghost score 20%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Elara Capital

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2002

💼 Consulting

📦 Logistics

📣 Marketing

Consulting • Logistics • Marketing

Elara Capital is a leading global investment and advisory firm, dedicated to providing innovative solutions and expert guidance in the fields of investment banking, securities, and asset management. Founded with a vision to revolutionize the offshore market, Elara Capital has built a reputation for trust and reliability while striving to empower clients in their financial journeys. With a commitment to excellence and a focus on creating a comprehensive financial ecosystem, Elara Capital has raised significant funds for Indian corporates and offers a range of financial services including loans, equity research, and asset management.

📋 Description

• Participate in comprehensive or stratified audits related to skilled home health, hospice, palliative care, personal care services, and behavioral health • Audit billing compliance trends and deliver education to agency leaders • Provide recommendations and positive feedback to the Billing Compliance Audit team • Prepare written audit results for agency leaders after audit findings are finalized • Provide secondary review and oversight of PCS policy development, revisions, and reviews • Assist with compliance and quality education and updates to compliance resource manuals, policies, procedures, and tools • Review audits for accuracy and ensure auditors understand and follow billing rules • Monitor audit deficiencies and develop broad-based remediation training • Collaborate with clinicians, managers, account executives, intake coordinators, directors, and administrative staff on regulatory compliance • Advise clinicians and Clinical Managers on coding, documentation, OASIS guidelines, and CMS questions • Collaborate with the Compliance Department across functional compliance areas • Maintain patient and staff privacy and confidentiality under HIPAA • Maintain knowledge of payment regulations, federal and state laws, and accreditation standards • Escalate serious compliance, billing, and business risks to compliance and functional leadership • Help ensure audit programs emphasize prevention, timely reporting, and remediation • Partner with operational leaders on compliance initiatives and risk-based action plans • Attend audit findings calls and assist with corrective action plans and timely implementation

🎯 Requirements

• Associate or Bachelor of Science in Nursing • Minimum of five (5) years’ experience in Corporate Compliance healthcare coding/billing audit • Minimum of two (2) years of demonstrated leadership ability • Certified Homecare Coding Specialist (HCS-D), Certified OASIS Specialist-Clinical (COS-C), or willingness to obtain within one (1) year • Registered Nurse with home health and hospice coding experience • Meets all applicable agency policies and procedures related to health screening and required testing • Minimal travel required

🏖️ Benefits

• Competitive compensation package • Tuition reimbursement for full-time staff • Continuing education opportunities for all employees at no cost • Opportunities for advancement • Comprehensive medical, dental, and vision insurance plans • 401(K) with employer match • Paid time off • Paid holidays • Family bereavement leave • Pet bereavement leave • Pet insurance