Compliance Auditor - Home, Health & Hospice

Piedmont Healthcare Inc.Atlanta, GA

About The Position

At Piedmont Healthcare, you’ll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future. The Compliance Auditor, Home Health & Hospice, is responsible for conducting risk-based audits focused on documentation integrity, medical necessity, and regulatory compliance for home health and hospice services. This role also supports the Piedmont’s Compliance Program by identifying areas of risk, leading investigations, and delivering targeted education to mitigate future compliance vulnerabilities. #LI-POST #GD

Requirements

  • Bachelor’s degree from an accredited college or university; associate's Degree in nursing or a Licensed Practical Nurse.
  • Minimum 3–5 years of experience in healthcare auditing or coding, with a focus on home health and hospice
  • Knowledge of health care regulations and clinical terminology
  • High-level knowledge of auditing techniques and standards for home health & hospice
  • Licensure is required commensurate with corresponding clinical degree (i.e. RN licensure is required with a nursing degree).

Nice To Haves

  • Knowledge of Local and National Coverage Determinations

Responsibilities

  • conducting risk-based audits focused on documentation integrity, medical necessity, and regulatory compliance for home health and hospice services
  • identifying areas of risk, leading investigations, and delivering targeted education to mitigate future compliance vulnerabilities
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