HCH Compliance Specialist

Allina Health

22d • $40 - $55

About The Position

Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career. Key Position Details: 1 FTE (80 hours per 2 weeks) 8 hour day shift No weekends Job Description: Guides compliance and regulatory responsibilities. Creates documentation and best-practice work flows. Provides education and training. Completes documentation audits and resolves billing and submission problems.

Requirements

• Bachelor's degree in Nursing or Physical Therapy

Nice To Haves

• 2 to 5 years experience in acute care in nursing or therapy
• 2 to 5 years experience in Home Care or Hospice case management
• 2 to 5 years experience in Home Care or Hospice compliance or regulatory
• 2 to 5 years experience in Home Care or Hospice state and federal regulations, home standards and reimbursement
• RNMNBN preferred
• Certified Case Manager (CCM) preferred
• American Nurses Credentialing Certification (ANCC) preferred
• OASIS Certification if working in home health care setting preferred

Responsibilities

• Consults and educates on home care and/or hospice regulations, standards, reimbursement and evidence-based clinical practice.
• Develops competencies.
• Creates and provides education and training.
• Participates and contributes on councils.
• Leads quality assurance and performance improvement efforts for home care and/or hospice compliance.
• Serves as resource for documentation practices and workflows in Epic.
• Manages compliance.
• Develops process workflows.
• Develops and performs documentation audit and review processes.
• Leads federal and state survey visits.
• Assists in developing corrective action plans if applicable following survey visits.
• Resolves documentation issues for billing.
• Supports the submission process for OASIS and/or HOPE by solving rejections and submission warnings.
• Participates in innovative practices.
• Creates reports.
• Other duties as assigned.

Benefits

• Medical/Dental
• PTO/Time Away
• Retirement Savings Plans
• Life Insurance
• Short-term/Long-term Disability
• Voluntary Benefits (vision, legal, critical illness)
• Tuition Reimbursement or Continuing Medical Education as applicable
• Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program

What This Job Offers

• Job Type: Full-time
• Number of Employees: 1-10 employees