Hospice - Internal Auditor

Description

Our people are the difference.

Transitions Care is a leading hospice organization that has changed the hospice experience for patients, families, and team members. Imagine a healthcare company that provides 24/7 access to services in the comfort of the patient's home - providing the physical, emotional, and spiritual support that allows a patient to focus on living.

At Transitions, you don't have to imagine! Apply now to join our team and experience the Transitions difference!

As an Internal Auditor at Transitions Care you will truly make a difference in people’s lives. You will be pivotal in providing unbiased feedback to our teams and ensuring we are adhering to the highest standards of Hospice care.

We are seeking a knowledgeable and detail-oriented Internal Auditor with expertise in CMS Conditions of Participation (CoPs) and healthcare compliance to join our hospice organization. The Internal Auditor will play a critical role in monitoring compliance with federal and state regulations, focusing on the CMS CoPs for hospice care, documentation standards, and operational excellence. This role will also involve conducting on-premises surveys at hospice locations to ensure compliance with regulatory requirements and to assess the readiness for external surveys, inspections, or audits.

Joining our team means joining a community of dedicated professionals who are committed to excellence and continuous improvement. You’ll have access to ongoing training and professional development opportunities, allowing you to expand your skills and stay are the forefront of palliative care.

Major Responsibilities

- Audit Planning and Execution

• Develop and execute risk-based compliance audit plans tailored to hospice operations and CMS CoPs requirements.
• Conduct detailed audits of patient records, documentation, and care plans to ensure compliance with CoPs, including eligibility assessments, interdisciplinary team (IDT) documentation, and patient-centered care planning.
• Perform audits of on-premises operations, including facility readiness, patient care practices, and administrative procedures.
• Evaluate hospice location compliance with state and federal licensing requirements and standards.
• Deliver standardized feedback to administrators, leadership, and staff as to areas of potential improvement.
• Develop, monitor, and report on plans of correction, ensuring that identified deficiencies are elevated to leadership and addressed in a timely manner.

-CMS and Regulatory Compliance

• Ensure the organization’s adherence to CMS Conditions of Participation, including:
• Comprehensive assessments and timely updates to patient care plans.
• Documentation of patient eligibility for hospice care, including certifications of terminal illness and physician narratives.
• Interdisciplinary team (IDT) meeting compliance and documentation.
• Accurate use of the Hospice Item Set (HIS) and data submission requirements.
• Prepare the organization for external audits, surveys, and inspections, including state and federal site visits.
• Monitor compliance with HIPAA, OIG guidelines, and other relevant healthcare laws and regulations.

- On-Premises Surveys

• Conduct routine, announced/unannounced on-premises compliance surveys to evaluate operations, patient care practices, and physical facility conditions.
• Ensure hospice sites are survey-ready at all times, meeting CoPs and state health department standards.
• Review staff adherence to patient care protocols, infection control policies, and medication management procedures.
• Identify gaps in compliance and provide actionable recommendations to address deficiencies.

-Reporting and Recommendations

• Prepare detailed audit and survey reports that summarize findings, risks, and actionable recommendations.
• Present audit results and compliance risks to leadership and collaborate on corrective action plans.
• Track progress on the implementation of corrective actions and re-audit as necessary.

-Training and Collaboration

• Educate staff on CMS CoPs, best practices for documentation, and compliance requirements.
• Provide guidance to clinical and administrative teams on preparing for external surveys or inspections.
• Collaborate with the Compliance Director and leadership to implement organization-wide improvements

Benefits We Offer

• Competitive salary
• Medical / Dental / Vision Insurance plans
• Life Insurance
• 401(k) matching
• Company Equipment
• Paid Time Off
• Annual Auto Allowance
• Company Gas Card

Requirements

Education & Experience:

• Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field.
• Minimum of 3-5 years of experience in healthcare compliance or internal auditing, with hospice-specific experience preferred.
• Extensive knowledge of CMS Conditions of Participation for hospice care and state health department regulations.

Certifications (preferred but not required):

• Certified Healthcare Compliance (CHC)
• Certified Hospice and Palliative Care Administrator (CHPCA)

Skills & Competencies:

• Strong understanding of hospice operations and CMS CoPs requirements.
• Experience conducting on-premises compliance surveys and audits.
• Proficiency in analyzing documentation for compliance with federal and state regulations.
• Excellent written and verbal communication skills to create clear reports and recommendations.
• Detail-oriented with strong organizational and analytical skills.

Salary : $75,000 - $85,000