Compliance Manager - Home Health Agency

Five Star Home Health Care LLC; Chantilly (VA); On-site; USD 110,000 - 170,000; Full time

Job summary

Five Star Home Health Care LLC is seeking a compliance leader to manage the agency's comprehensive compliance program from Chantilly, VA. You will ensure alignment with federal regulations, state Virginia home health rules, CMS guidelines, and Joint Commission standards.

You will serve as the primary compliance contact, developing annual monitoring plans, conducting audits across documentation, billing, and PDGM, and coordinating corrective actions with leadership.

Qualifications

• Strong knowledge of healthcare compliance and QA practices.
• Understanding of CMS Conditions of Participation, Virginia home health regulations, and Joint Commission standards.
• Experience with clinical documentation auditing and billing compliance.
• Strong analytical and organizational skills.
• Excellent communication and collaboration abilities.
• Proactive, detail-oriented and able to lead compliance initiatives.

Responsibilities

• Lead and maintain the agency's compliance program, ensuring alignment with federal regulations, Virginia home health requirements, CMS guidelines, and Joint Commission standards.
• Serve as the designated compliance point of contact, promoting accountability across departments.
• Develop and maintain annual compliance monitoring, auditing, and risk assessment plans.
• Oversee regulatory readiness, including mock surveys, tracer activities, and documentation for Joint Commission and Virginia Department of Health visits.
• Conduct routine audits of clinical documentation, OASIS accuracy, plans of care, billing, coding, and PDGM compliance.
• Monitor HHVBP and quality measures alongside the QAPI program, identifying trends and improvement opportunities.
• Coordinate responses to survey findings with corrective action plans and evidence of compliance.
• Monitor regulatory changes and communicate updates to leadership.
• Maintain Code of Conduct and confidential compliance hotline to promote accountability and non-retaliation.
• Partner with Clinical Managers, COO, CCO, and CEO to develop and deliver compliance training.

Skills

Healthcare compliance

Regulatory knowledge

CMS CoPs

Joint Commission

Auditing

Documentation audits

Communication

Analytical skills

Job description

• This is a 100% in-person position based out of our Chantilly, VA office.

What You'll Do

• Lead and maintain the agency's compliance program, ensuring alignment with federal regulations, Virginia home health requirements, CMS guidelines, and Joint Commission standards.
• Serve as the organization's designated compliance point of contact, promoting accountability and ethical practices across all departments.
• Develop and maintain annual compliance monitoring, auditing, and risk assessment plans.
• Oversee regulatory readiness, including mock surveys, tracer activities, staff preparation, and documentation for Joint Commission and Virginia Department of Health visits.
• Conduct routine audits of clinical documentation, OASIS accuracy, plans of care, billing, coding, and PDGM compliance.
• Monitor HHVBP and quality measures alongside the QAPI program, identifying documentation trends and opportunities for improvement.
• Coordinate responses to survey findings, including plans of correction and supporting evidence of compliance.
• Monitor regulatory changes and communicate necessary updates and recommendations to organizational leadership.
• Maintain the agency's Code of Conduct and confidential compliance hotline, ensuring a culture of accountability and non-retaliation.
• Partner with Clinical Managers, the COO, CCO, and CEO to develop and deliver compliance training for new hires and existing employees.

What We're Looking For

• Strong knowledge of healthcare compliance, regulatory requirements, and quality assurance practices.
• Understanding of CMS Conditions of Participation, Virginia home health regulations, and Joint Commission standards.
• Experience with clinical documentation auditing, billing compliance, and healthcare regulatory readiness.
• Strong analytical and organizational skills, with the ability to identify compliance risks and recommend corrective actions.
• Excellent communication skills and the ability to collaborate with clinical, operational, billing, and leadership teams.
• A proactive, detail-oriented professional who can independently manage compliance initiatives and drive accountability throughout an organization.

Why Join Five Star Home Health Care?

• Leadership Impact: Take ownership of the organization's compliance program and help shape a culture of quality and accountability.
• Cross-Functional Collaboration: Work directly with executive leadership and department heads across the organization.
• Meaningful Work: Play a critical role in protecting patients, supporting employees, and maintaining the highest standards of care.
• Growth Opportunity: Help strengthen and develop compliance processes as our organization continues to grow.

Join Five Star Home Health Care and help us deliver quality care through excellence, accountability, and compliance.