Compliance Coordinator

Compliance Coordinator

At PHS, we help medically complex kids live their best lives— at home, with their families. As a national leader in pediatric home care, we offer a full range of services including infusion, clinical nutrition, respiratory therapy, PPEC, private duty nursing, and DME. Whether you're caring for patients or supporting behind the scenes, every role at PHS makes a difference. Join a mission-driven team that's committed to putting children and families first.

We are currently seeking a Compliance Coordinator to join our growing team. This critical role helps ensure our services meet the highest standards of compliance with government and commercial payer requirements.

• Audit medical documentation supporting claims billed to government and commercial payers.
• Review documentation for accuracy, completeness, and alignment with payer guidelines.
• Analyze payer contracts, fee schedules, databases, and system set-up requirements.
• Identify audit trends, variances, deficiencies, and potential compliance risks.
• Prepare clear audit reports and communicate findings to appropriate stakeholders.
• Conduct follow-up audits to confirm corrective actions have been completed.
• Assist with development and maintenance of compliance policies, procedures, audit standards, and reports.
• Serve as a resource for billing, reimbursement, documentation, and coding-related questions.
• Stay current with Medicare, Medicaid, and commercial payer rules and regulations.
• Partner with internal teams to resolve billing and documentation concerns.
• Prepare and deliver training related to supported billing and documentation expectations.

Qualifications

• Bachelor's degree preferred, or equivalent combination of education, training, and related experience.
• 1–2 years of experience in healthcare compliance, billing, reimbursement, auditing, documentation review, revenue cycle, DME, home care, or a related healthcare setting preferred.

The Company

Pediatric Home Service is a pediatric home health agency that has provided high-quality DME and nursing services to medically fragile children since 1990. Our services allow our clients to remain and thrive in their homes, schools, and communities. The majority of the clients we serve are age's birth through 21 years old and have a variety of technologies that might include a trach, ventilator or g-tube.

Salary Range

At PHS, we are committed to providing specialized care for medically complex children. Every role, from direct patient care to customer support, plays a vital part in improving the lives of kids and families. The impact you make is invaluable. We are dedicated to offering fair and transparent compensation to our team members. The starting rate for this role is $30.00 hourly, based on experience and qualifications.

The Benefits

• Holiday Pay
• Paid Time Off
• Health and Dental insurance
• Short & Long-Term Disability and Life Insurance
• 401K with match & educational benefits

Interested candidates should apply online at, please include cover letter & resume along with salary requirements in your application.

Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance.