Compliance & Quality Auditor

Gulfside CareerLand O Lakes, FL
2d

About The Position

Reporting to the Director of Quality & Accreditation, the Compliance & Quality Auditor is responsible for ongoing analysis and review of regulatory compliance in patient records. EDUCATION AND QUALIFICATIONS: A bachelor’s degree in a healthcare or data management related field or relevant experience, preferred. Hospice experience preferred. A minimum of one year experience in one or more of the following fields: health data management, data analysis, auditing, or a closely related field preferred. Knowledge of Florida Hospice regulations and statues, Medicare conditions of participation and payment, and Joint Commission standards, preferred. Knowledge of and experience with HQRP and HOPE, preferred.

Requirements

  • A minimum of one year experience in one or more of the following fields: health data management, data analysis, auditing, or a closely related field preferred.

Nice To Haves

  • A bachelor’s degree in a healthcare or data management related field or relevant experience, preferred.
  • Hospice experience preferred.
  • Knowledge of Florida Hospice regulations and statues, Medicare conditions of participation and payment, and Joint Commission standards, preferred.
  • Knowledge of and experience with HQRP and HOPE, preferred.

Responsibilities

  • Monitor, review, and/or audits patient charts or other data for compliance with regulatory requirements.
  • Provide staff feedback on audit corrections and observations with staff.
  • Provide regular reports to management on patient chart compliance and various measures.
  • Conduct ad hoc reviews and audits based on high risk, problem prone, or otherwise specified areas.
  • Maintain tools, reports, data, metrics, benchmarking, tracking, and trending patient and compliance data.
  • Participate in various committees to address risks and opportunities for improvement, to report on compliance data, and collaborate in process improvement initiatives.
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