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/.