What are the responsibilities and job description for the RN Compliance Auditor position at Agrace?
Description
Agrace is a nonprofit, community health care organization that is nationally recognized as a leader in the hospice industry. Well known for end-of-life care, Agrace also serves people across southern Wisconsin who are aging, seriously ill or grieving.
Agrace has a strong culture of employee engagement. In 2023, Agrace was named the #1 Top Workplace by the Wisconsin State Journal and Energage, and #79 of the top 100 companies in the country among those with an employee base of 500 to 999 workers!
Hours DAY Shift (36 hours a week)
WHO YOU'LL WORK WITH (AND WHAT THEY HAVE TO SAY)
The RN Compliance Auditor collaborates with various departments at Agrace.
"My coworkers enjoy the work they do which has such a positive impact on everything. Management is supportive and understanding, and I genuinely feel that others within the organization enjoy the work that they do too." - Agrace Employee
HOW YOU’LL MAKE A DIFFERENCE IN THIS ROLE (ESSENTIAL FUNCTIONS)
The RN Compliance Auditor is responsible for the auditing functions identified in the Agrace Clinical Auditing and Monitoring Plan. Additionally, the position will collaborate with other members of the Compliance Team to ensure that Agrace maintains auditing compliance with Plan of Corrections through various auditing bodies and provide mentoring and education to clinicians with specific documentation question and concerns.
YOU BRING (EXPERIENCE & QUALIFICATIONS)
At Agrace we are strengthened by the diverse experiences, cultures and traditions of our staff, patients, and clients.
Together, we pursue a vision of equity—in which every Agrace staff member is treated fairly, and every patient and client experiences the respectful, individualized care they need and deserve.
We foster a culture of belonging and inclusion that celebrates people’s uniqueness and leads to meaningful, empathetic connections.
Agrace HospiceCare is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Agrace is a nonprofit, community health care organization that is nationally recognized as a leader in the hospice industry. Well known for end-of-life care, Agrace also serves people across southern Wisconsin who are aging, seriously ill or grieving.
Agrace has a strong culture of employee engagement. In 2023, Agrace was named the #1 Top Workplace by the Wisconsin State Journal and Energage, and #79 of the top 100 companies in the country among those with an employee base of 500 to 999 workers!
Hours DAY Shift (36 hours a week)
WHO YOU'LL WORK WITH (AND WHAT THEY HAVE TO SAY)
The RN Compliance Auditor collaborates with various departments at Agrace.
"My coworkers enjoy the work they do which has such a positive impact on everything. Management is supportive and understanding, and I genuinely feel that others within the organization enjoy the work that they do too." - Agrace Employee
HOW YOU’LL MAKE A DIFFERENCE IN THIS ROLE (ESSENTIAL FUNCTIONS)
The RN Compliance Auditor is responsible for the auditing functions identified in the Agrace Clinical Auditing and Monitoring Plan. Additionally, the position will collaborate with other members of the Compliance Team to ensure that Agrace maintains auditing compliance with Plan of Corrections through various auditing bodies and provide mentoring and education to clinicians with specific documentation question and concerns.
- Compliance Audit Requirements
- Conduct utilization review of all Agrace clinical services.
- Ensure auditing/monitoring activities are occurring as identified in the Auditing and Monitoring Plan.
- Report risks to supervisor for evaluation and correction.
- Assist with the development of monitoring tools.
- Report audit findings/trends to members of the Compliance Team.
- Compliance Improvement Projects
- Participate in process improvement projects related to development and enhancement of documentation templates in electronic health record.
- Provide end user support for documentation questions and feedback.
- Provide mentoring to clinical staff to ensure assessment data is included in documentation.
- Policy, Procedure, Protocol Review
- Ensure regulatory compliance through standard documentation audit protocols.
- Initiate policy, procedure and protocol updates related to audit findings and regulatory changes.
- Documentation Response
- Review and provide appropriate documentation requested by regulatory bodies, attorneys or insurance companies as delegated.
- Assist leadership with response for documentation during audits.
- Other Duties
- Participate in internal work groups, meetings and committees relative to position responsibilities.
YOU BRING (EXPERIENCE & QUALIFICATIONS)
- Associate’s degree of Nursing required; Bachelor’s degree preferred
- Current unrestricted Wisconsin State RN license
- 2 years’ minimum experience in a hospital setting
- Valid driver’s license, auto insurance, and access to a reliable vehicle
- Knowledge of healthcare quality improvement and/or compliance auditing practices.
- Knowledge of hospice regulation and operations.
- Knowledge of medical terminology, coding, and payment methodologies, billing, health documentation and quality monitoring processes.
- Intermediate Microsoft Office Suite skills
- Ability to work effectively and cooperatively with others
- Experience using industry specific software
- Ability to communicate effectively verbally and in writing
- Ability to be flexible in time and task to meet organizational needs
- Ability to maintain confidentiality about patients, families, caregivers, staff, donors, and organizational intellectual property.
- Ability to work at various Agrace locations.
- Ability to use proper body mechanics and standard precautions
At Agrace we are strengthened by the diverse experiences, cultures and traditions of our staff, patients, and clients.
Together, we pursue a vision of equity—in which every Agrace staff member is treated fairly, and every patient and client experiences the respectful, individualized care they need and deserve.
We foster a culture of belonging and inclusion that celebrates people’s uniqueness and leads to meaningful, empathetic connections.
Agrace HospiceCare is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
