Per Diem - Corporate Compliance Auditor

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

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

$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/ .