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/.