Licensed Therapist Compliance Partner (OT, PT, SLP)

Ensign Services; Lincoln; On-site; GBP 45,000 - 60,000; Full time

Job summary

A national healthcare service provider is seeking a Licensed Therapist Compliance Partner responsible for conducting compliance audits and internal investigations related to Medicare claims. The ideal candidate must have a minimum of five years’ experience in skilled nursing facilities and hold a relevant therapy license. Travel is required for 70% of the role, emphasizing the need for flexibility. This position offers a chance to enhance compliance quality across numerous healthcare facilities in a dynamic environment.

Qualifications

• Must have at least five years of skilled nursing facility experience.
• Understanding of legal and regulatory framework governing skilled nursing.
• Expertise in compliance-related coding rules.

Responsibilities

• Perform compliance audits and Medicare claim reviews.
• Conduct internal investigations under compliance direction.
• Track and facilitate corrective action plans.
• Travel required for 70% of the time.

Skills

Compliance auditing

Internal investigations

Medicare claim review

MDS/PDPM coding expertise

Education

Occupational Therapist License

Physical Therapist License

Speech Language Pathologist License

Job description

Licensed Therapist Compliance Partner (OT, PT, SLP)

About the Opportunity

Ensign Services, Inc.’s (ESI) Compliance Department is seeking a Therapy Billing Compliance Partner. Must be an Occupational Therapist, Physical Therapist or Speech Therapist with at least five years’ experience in the skilled nursing environment. Primary responsibilities will involve performing compliance audits, conducting internal investigations under direction of associate and chief compliance officer, reviewing and analyzing medical records and/or claims to detect possible compliance or quality issues.

About the Company

Ensign Services, Inc. is a national leader in the growing healthcare industry. We are a progressive company that provides service and support to over 350 long‑term care facilities located across more than a dozen states, and we are continuing to grow. These operations are supported by ESI’s “Service Center,” a world‑class service team that provides clinical, legal, human resources, accounting, compliance, information technology, construction and other resources necessary to allow on‑site leaders to focus squarely on day‑to‑day business.

Our compliance philosophy is to work as closely with field facilities, agencies and resources as possible to develop solid relationships that allow us to enhance and foster compliance throughout the organization. We not only provide training, oversight and auditing functions, but we also serve as partners to our providers to assist them in building successful businesses in an ethical and compliant manner.

Duties

• Performs Medicare claim review portion of internal compliance audits
• Conducts internal investigations involving compliance issues
• Track corrective action plans related to any adverse findings
• Facilitate other required compliance activities
• Travel required 70% of the time within Nebraska and surrounding areas/states

Experience & Qualifications

• Occupational, Physical or Speech Language Pathologist Therapy License
• A minimum of five years’ SNF experience
• Expertise in MDS/PDPM coding rules and regulations
• Understanding of the legal and regulatory framework governing the skilled nursing industry