Per Diem - Corporate Compliance Auditor

Chapters Health System; Florida; On-site; USD 41,000 - 58,000; Full time

Job summary

Chapters Health System is seeking a Corporate Compliance Auditor to assist the Director of Compliance/Risk in planning and coordinating quality improvement and performance improvement projects related to regulatory compliance for admissions and recertification. The role requires a bachelor’s degree or equivalent, at least two years of related experience, and strong Excel/PowerPoint skills.

RN license is preferred; hospice experience is a plus.

Qualifications

• Bachelor’s Degree or equivalent education/experience.
• Licensed Registered Nurse (RN) preferred.
• Minimum of two (2) years of related experience.
• Strong skills in Microsoft Office including Excel and PowerPoint.
• Detail oriented and knowledgeable in clinical standards of practice.
• Experience with chart audit review and data compilation.
• Strong documentation skills and excellent verbal and written communication.
• Compliance and audit experience preferred; hospice experience preferred.

Responsibilities

• Performs audits of patient records to ensure staff and policies comply with regulatory requirements while preserving confidentiality.
• Collects, reviews, and analyzes data pertaining to audit functions for the Director of Compliance/Risk and Audit Committee reports.
• Researches problems to determine origin and resolution, evaluates compliance with control/benchmark requirements.
• Summarizes findings and provides recommendations to the Director of Compliance/Risk weekly.
• Reports to Clinical Administration at each affiliate on patient eligibility and documentation concerns, and areas of care.

Skills

Microsoft Office

Excel

PowerPoint

Attention to detail

Data analysis

Verbal and written communication

Audit/compliance knowledge

Education

Bachelor’s Degree

RN license (preferred)

Tools

Microsoft Office Suite

Job description

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role:

The Corporate Compliance Auditor is responsible for assisting the Director of Compliance/Risk in planning, developing and coordinating the affiliates’ quality improvement program and related performance improvement projects as related to a regulatory compliance for admissions and recertification.

Qualifications:

Bachelor’s Degree in a relevant field or an equivalent combination of education and experience Licensed Registered Nurse (RN) preferred Minimum of two (2) years of related experience Strong skills in use of Microsoft office including Excel and PowerPoint Skill in pain and symptom control management Must be detailed oriented and knowledgeable in clinical standards of practice Experience with chart audit review Experience with compiling data Strong documentation skills Excellent verbal and written communication skills Compliance and audit experience preferred Hospice experience preferred

Competencies:

Satisfactorily complete competency requirements for this position.

Responsibilities of all employees:

Represent the Company professionally at all times through care delivered and/or services provided to all clients. Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. Comply with Company policies, procedures and standard practices. Observe the Company's health, safety and security practices. Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. Use resources in a fiscally responsible manner. Promote the Company through participation in community and professional organizations. Participate proactively in improving performance at the organizational, departmental and individual levels. Improve own professional knowledge and skill level. Advance electronic media skills. Support Company research and educational activities. Share expertise with co-workers both formally and informally.

Job Responsibilities:

Performs audits of patient records ensuring that the staff and policies of the Company comply with regulatory requirements while maintaining the confidentiality of Company records. Collects, reviews, and analyzes data pertaining to audit functions including regulatory outcome measures for the Director of Compliance/Risk to report to the Audit and Compliance Committee. Researches problems and errors to determine their origin and appropriate resolution. Evaluates the level of compliance with the Organization’s control/benchmark requirements. Summarizes findings and provides recommendations to the Director of Compliance/Risk on a weekly basis. Makes written and verbal reports to Clinical Administration at each affiliate concerning patient eligibility, documentation, and any other areas of concerns regarding patient record of care. Coordinates activities of medical review of clinical documentation to ensure compliance with reimbursement guidelines and educates staff on medical reviews. Evaluates trends and identifies opportunities for improvement and presents to the Director of Compliance/Risk for prioritizing activities, in a timely manner. Coordinates, in conjunction with the Director of Compliance/Risk, affiliate denials and processes medical record information requests. Performs other duties as assigned.

Compensation Pay Rate:

$36.00 This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy. All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.

Choices. Education. Guidance. As a progressive leader and premier health organization, Chapters Health System is dedicated to delivering innovative care throughout chronic illness progression and beyond. Since 1983 as a community-based, not-for-profit organization, Chapters Health has provided choices, education and guidance through its managed affiliates: Capital Caring Health, Chapters Health Foundation, Chapters Health Hospice, Chapters Health Pharmacy, Chapters Health Staffing, Cornerstone Hospice & Palliative Care, Good Shepherd Hospice, Hope Healthcare, Hospice of Okeechobee, HPH Hospice and LifePath Hospice. Chapters Health offers services throughout the Southeast and Mid-Atlantic regions of the country to improve the patient/family experience well in advance of end-of-life needs. Chapters Health and its affiliates are licensed in Alachua, Arlington, Bradford, Charlotte, Cherokee, Citrus, Cobb, Collier, Columbia, District of Columbia (all eight wards), Dixie, Fairfax, Fauquier, Fayette, Forsyth, Fulton, Gilchrist, Glades, Gwinnett, Hall, Hamilton, Hardee, Hendry, Hernando, Highlands, Hillsborough, Howard, Lafayette, Lake, Lee, Levy, Loudoun, Marion, Martin, Miami-Dade, Monroe, Montgomery, Okeechobee, Orange, Osceola, Pasco, Pinellas, Polk, Prince George’s, Prince William, Putnam, St. Lucie, Sumter, Suwannee and Union counties. Click here to view the video! All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.

It is the policy of the Organization to provide equal employment opportunities to all employees and applicants for employment.

The Organization(s) complies with all civil rights laws and other federal, state and local fair employment laws that prohibit any unlawful employment practices including harassment and discrimination based on race, color, religion, gender, national origin, age, physical or mental disability, marital status, pregnancy, genetic information, status as a covered veteran, sexual orientation, or any other characteristic protected by law.

Employment decisions, including hiring and promoting, are based on merit, qualifications, abilities and business needs.

This policy applies to all terms and conditions of employment in accordance with applicable federal, state and local laws.