AccentCare RN | Hospice Compliance Specialist job in Meridian, MS

Company
AccentCare
Job Title
RN | Hospice Compliance Specialist
Job Type
Full-time
Location
Meridian, MS 39309

RN | Hospice Compliance Specialist

AccentCare® is a national post-acute healthcare provider with 45 years of industry experience. We thrive on providing patient-centric care and a warm and personalized experience within our local communities.

Your Success is our Success. We strive to provide our new employees with a structured on-boarding process to help you become assimilated quickly, and cutting-edge tools to make your daily work easier and more efficient. We offer extensive training and a wide-array of opportunities for continued education and promotional opportunities.

Position: Hospice Compliance RN Field Specialist, Corporate Compliance
Reports to: Corporate Compliance Manager
(Candidate will work remotely if not in the Dallas area)

This position requires up to 50% travel

Job Description/Requirements:

As a Hospice Compliance Field Specialist, RN, Corporate Compliance, you will:

  • Serve as direct Compliance resource for hospice administrative, clinical and operations teams and identify and assist in updating compliance protocols and compliance standard Operating Procedures.
  • Participate as member of hospice compliance oversight committee. Assist in compiling data and reports regarding Hospice issues.
  • Proactively identify systemic issues and prepare solutions to address them in a timely manner, up to and including coordinating workgroups and meetings.
  • Conduct compliance investigations. Audit, monitor, and evaluate hospice compliance processes and make recommendations as appropriate.
  • Monitor industry regulatory changes and distribute related communications.
  • Assist Hospice Clinical Operations with compliance and regulatory matters; attend IDG meetings when applicable; manage and evaluate for eligibility and LOS, assist Hospice with QAPI Program oversight; serve as a liaison to Hospice Medical Directors, providing education and training as applicable.
  • Coordinate with Hospice Clinical Operations and Hospice Clinical Audit Specialist in managing 30-60-90 day plan development with offices who have failed audit.
  • Develop and conduct hospice compliance educational offerings; provide webinars and in-services as needed, alerts and tips.
  • Assist with responses to regulatory audits, ADRs, and other requests. Assist with surveys and CHAP preparation as requested.
  • Develop and maintain positive relationships with regulatory contacts.
  • Coordinate with legal counsel and Hospice Clinical Operations departments to ensure adherence to laws and regulations relating to new or revised products and service offerings.
  • Collaborate with CCO, CMO, Compliance Department and Hospice Clinical Staff on the revision, preparation, and dissemination of new and updated Compliance Policies and Standard Operating Procedures.

Requirements of Qualified Candidates:

  • Active Registered Nurse (R.N. license); Bachelor Degree in nursing, health Information management, health care administration, or other related health care field preferred
  • Minimum 5 years’ experience in increasingly responsible positions in hospice or palliative care settings.
  • Knowledge of industry standards Medicare, Medicaid, and hospice Regulatory standards
  • Experienced in HCHB (HomeCare HomeBase) EMR system
  • Excellent analytical, interpersonal, verbal, written, and interpersonal communication skills.
  • Experience in auditing and monitoring (Internal Audit , Quality Improvement or QAPI); Statistical data analysis experience preferred
  • Experience conducting compliance investigations, preferably in health care setting; extensive knowledge of Hospice regulatory environment preferred
  • Experience developing and implementing policies and procedures, creating reports
  • Experience with criminal and/or civil fraud investigations in Medicaid (preferred), Medicare, or private health insurance preferred
  • Knowledge of continuous improvement, change management, Compliance and health information privacy regulations, policies and auditing processes, and quality reporting and HCAHPS.
  • Group facilitation and presentation skills
  • Ability to work independently or in a team setting to initiate and manage projects
  • Knowledge of hospice coding and reimbursement for federally funded programs and other payors.
  • Well-versed in healthcare privacy issues and HIPAA
  • Knowledge and technical proficiency with Microsoft Office applications to include Word, Excel, and PowerPoint
  • Ability to work in a fast paced environment, adapt to changing deadlines and prioritize work, flexible and motivated by challenges.

Must consistently demonstrate the highest level of professionalism and discretion

 IND456

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