Compliance Auditor

Ascend Health

Clark (NJ)

Remote

USD 65,000 - 90,000

Full time

10 days ago

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Job summary

Ascend Hospice is seeking a Compliance Auditor to support our Corporate Compliance Program. You will conduct independent audits of hospice operations, review clinical and billing documentation, support responses to payer audits, and help leaders address compliance risks.

The role involves reviewing records, tracking deadlines, analyzing denial trends, and supporting QAPI activities with occasional travel to agency locations.

Qualifications

  • RN license preferred; certifications encouraged.
  • Experience in healthcare compliance, auditing, or Medicare reviews.
  • Strong written and verbal communication; ability to produce clear reports.

Responsibilities

  • Audit hospice operations, clinical documentation and billing for compliance.
  • Coordinate responses to ADRs and payer/government audits.
  • Review records for completeness and track deadlines.
  • Analyze findings, identify root causes, and report to leadership.
  • Track corrective actions and follow up audits to verify improvements.
  • Monitor regulatory changes and support policy updates and investigations.

Skills

Analytical skills
Organizational skills
Communication skills
Report writing

Education

RN license
CHC
CHCA
RHIA
RHIT
CPC
CCS

Tools

Microsoft Excel
Microsoft Word
Microsoft Outlook

Job description

Compliance Auditor

Remote Position

Ascend Hospice | Administration


Reports to: National Director of Compliance

Ascend Hospice is seeking a Compliance Auditor to support our Corporate Compliance Program. In this role, you will conduct independent audits of hospice operations, review clinical and billing documentation, support responses to payer audits, and help leaders address compliance risks.

What you’ll do
  • Audit hospice operations, clinical documentation, and billing practices for compliance with Medicare requirements, accreditation standards, and company policies.

  • Coordinate responses to Additional Documentation Requests (ADRs) and other payer or government audits.

  • Review records for completeness, track audit deadlines and outcomes, and elevate documentation gaps.

  • Analyze findings and denial trends, identify root causes, and prepare reports for leadership.

  • Track corrective action plans and conduct follow-up audits to confirm improvements are effective.

  • Monitor regulatory changes, support policy updates, and assist with compliance investigations and QAPI activities.

Qualifications
  • A current RN license to practice in at least one state served by Ascend Hospice is preferred. Candidates without an RN license must hold at least one of these certifications: CHC, CHCA, RHIA, RHIT, CPC, or CCS.

  • Experience in healthcare compliance, auditing, hospice operations, Medicare reviews, ADR management, medical record review, reimbursement, or regulatory oversight.

  • Strong analytical, organizational, communication, and report writing skills.

  • Ability to manage multiple priorities and deadlines independently.

  • Proficiency with Microsoft Excel, Word, and Outlook.

A bachelor’s degree in a related field and three years of related healthcare experience are preferred. Hospice, home health, or post-acute experience is strongly preferred. Familiarity with Medicare hospice regulations, government audits, QAPI, or CHAP accreditation is a plus.

This position involves extensive computer and medical record review, with periodic travel to agency locations as needed.

Ascend Hospice is an equal opportunity employer.

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