Hospice Compliance Auditor

Our Company

BrightSpring Health Services

Overview

Our Hospice Compliance Auditors are responsible for supporting the Regional Compliance Directors with chart audits, focus audits, and agency communication to ensure documentation meets both Medicare/Medicaid requirements and Agency standards. We are proud to have some of the best and brightest individuals in the healthcare industry on our team. We are confident you will find purpose, meaning and a chance to make a positive impact from day one. Apply today!

OUR COMPREHENSIVE BENEFITS INCLUDE:

• Medical and dental benefits
• Short- and long-term disability
• Life insurance
• Paid time off
• 401(k) program
• Flexible Spending Account (FSA)
• Employee Assistance Program (EAP)
• Vendor discounts
  
  

Responsibilities

• Works closely with Regional Compliance Directors to ensure activities of the Compliance Workplan are completed accurately and timely
• Follows the auditing plan and work closely with Quality and Compliance to ensure documentation meets both regulatory and agency standards
• Completes work timely, submitting completed work in coordination with Compliance Work plan and the compliance record keeping structure
• Communicates identified billing risks and audit results to Regional Compliance Director
• Participates in agency education to ensure understanding of expectations relevant to audit findings
• Creates a positive working relationship with other departments with the goal of sharing information to improve compliance and process within local agencies
• Assists as needed with QAPI activities and data gathering, supporting the agencies as needed to ensure policies are followed
• Helps Regional Compliance Directors, as needed, with onsite visits for education or compliance review
• Maintains current knowledge related to Medicare Conditions of Participation and the Community Health Accreditation Program’s (CHAP) standards to ensure that the organization is compliant with state, federal, and accreditation guidelines
• Assumes responsibility for ensuring policies and procedures reflect all related local, state, federal and CHAP standards, and recommend policy changes to the governing board
• Additional responsibilities as assigned
  
  

Qualifications

• Registered Nurse with current licensure to practice in assigned state(s)
• Bachelor’s degree in Nursing from an accredited program by the National League for Nursing preferred
• Three years’ experience in clinical nursing, hospice experience preferred
• Two years of experience in compliance, internal audit, basic law or paralegal strongly preferred
• Excellent understanding of compliance, Medicare Conditions of Participation, and understanding of medical documentation standards
• Ability to manage highly confidential information
• Analytical skills with ability to define problems, collect data, establish facts, and draw valid conclusions
• Meticulous attention to detail
• Self-director and ability to work with minimal supervision
  
  

About Our Line Of Business

BrightSpring Health Services provides complementary and integrated home- and community-based pharmacy and health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care and primary care, and rehabilitation and behavioral health, we provide comprehensive care and clinical solutions in all 50 states to over 400,000 customers, clients and patients daily. For more information, visit www.brightspringhealth.com . Follow us on Facebook , Twitter and LinkedIn .