Corporate Compliance Auditor

Posted:
6/28/2024, 9:25:05 AM

Location(s):
Florida, United States

Experience Level(s):
Junior ⋅ Mid Level

Field(s):
Legal & Compliance

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 Clinical Compliance Auditor is responsible for performing oversight activities to ensure compliance with all regulatory guidelines and quality initiatives including, but not limited to, those set forth in the annual Compliance Auditing and Monitoring Plan.

Qualifications:

  • Valid Florida RN license required.

  • Minimum three years of hospice experience required.

  • Hospice & Palliative Care Certification preferred.

  • Experience in healthcare compliance preferred.

  • Strong computer skills with a willingness to learn new systems. Experienced user of Microsoft Office is required, especially Word, PowerPoint and Excel.

  • Strong interpersonal skills.

  • Demonstrated ability to work independently and organize work load.

  • Demonstrated accuracy, dependability; must be detail oriented.

  • Demonstrated ability to communicate clearly and effectively both in verbal and written English (including audit reports and presentations).

  • Demonstrated knowledge of appropriate communication skills:

  •       a.  Ability to communicate with both internal and external customers.

          b.  Ability to effectively present information in one-on-one and small group situations to both

               internal and external customers.

          c.  Ability to effectively present information in large group situations

          d.  Familiar with adult learning principles.

  • Ability to problem solve and deal with problems involving many variables in both standard and exceptional situations.

  • Valid Florida driver’s license and required liability insurance

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.

  • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

Job Responsibilities:

  • Assists with the execution of a comprehensive audit program, and with the development and execution of associated audit tools.

  • Conducts ongoing audits of Medical Records, employee health files and other elements required by law and regulations.  Presents findings as directed, by way of audit reports and PowerPoint presentations.

  • Assists with the investigation of compliance and regulatory risk issues as directed.

  • Serves as a subject-matter resource to organizational staff for federal, state, and local regulations on day-to-day issues.

  • Assists with efforts to prepare records for external agency reviews; to include auditing, copying, and summarizing findings (drafting letters).

  • Reviews, investigates, and prepares written documentation to respond to third party denials.

  • Assists with training of IDT and clinical staff members to assure understanding of regulatory requirements of their position.

  • Collaborates with other departments to direct compliance issues to appropriate channels for investigation and resolution.

  • Participates in agency surveys, such as AHCA and the Department of Health, as needed.

  • Performs other duties as assigned.

    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.