Compliance & Quality Auditor

Gulfside Career • Brandon, FL

26d

About The Position

Reporting to the Director of Quality & Compliance, 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 Hospice experience 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 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. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES: Monitor, review, and/or audits patient charts or other data for compliance with regulatory Provide staff feedback on audit corrections and observations with staff. Provides regular reports to management on patient chart compliance and various Conduct ad hoc reviews and audits based on high risk, problem prone, or otherwise specified 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 SKILLS AND COMPETENCIES: Knowledge of compliance with all regulatory agencies governing health care delivery and the rules of accrediting Knowledge of Florida statutes and regulations, Conditions of Participation and Payment, and the Joint Commission Home Care Chapter. Ability to accurately and efficiently monitor and documented compliance and opportunities for improvement in patient charts. Ability to manage multiple priorities simultaneously and effectively handle the emotional stress of the workload. Ability to work independently, exercise confidentiality, discretion, and independent Ability to work in collaboration with other disciplines within the

Requirements

• A bachelor’s degree in a healthcare or data management related field or relevant experience
• Hospice experience
• 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
• Knowledge of compliance with all regulatory agencies governing health care delivery and the rules of accrediting
• Knowledge of Florida statutes and regulations, Conditions of Participation and Payment, and the Joint Commission Home Care Chapter.
• Ability to accurately and efficiently monitor and documented compliance and opportunities for improvement in patient charts.
• Ability to manage multiple priorities simultaneously and effectively handle the emotional stress of the workload.
• Ability to work independently, exercise confidentiality, discretion, and independent
• Ability to work in collaboration with other disciplines within the

Nice To Haves

• 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
• Provide staff feedback on audit corrections and observations with staff.
• Provides regular reports to management on patient chart compliance and various
• Conduct ad hoc reviews and audits based on high risk, problem prone, or otherwise specified
• 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

What This Job Offers

• Job Type: Full-time