Licensed Therapist Compliance Partner (OT, PT, SLP)
About The Position
Ensign Services, Inc. (ESI) is seeking a Therapy Billing Compliance Partner. This role requires an Occupational Therapist, Physical Therapist, or Speech Therapist with at least five years of experience in the skilled nursing environment. The primary responsibilities include conducting compliance audits, performing internal investigations, and reviewing medical records and claims to identify compliance or quality issues. ESI's compliance philosophy emphasizes collaboration with field facilities and agencies to foster a compliant and ethical environment. The company is a subsidiary of The Ensign Group, Inc., a leader in the post-acute care industry, providing back-office support to over 378 facilities nationwide.
Requirements
- Occupational Therapist, Physical Therapist or Speech Therapist with at least five years’ experience in the skilled nursing environment.
- Must reside near a major airport in one of the following areas: Sacramento, Modesto, Santa Rosa, Davis, Ventura, Los Angeles, or Orange County.
- Basic to intermediate knowledge of Microsoft Office/Excel.
- Pre‑employment criminal background screening required.
Nice To Haves
- Occupational, Physical or Speech Language Pathologist Therapy License.
- Expertise in MDS/PDPM coding rules and regulations.
- Understanding of the legal and regulatory framework governing the skilled nursing industry.
- Ability to work with all levels of management on potentially complex compliance/regulatory issues.
- Superior interpersonal communication skills.
- Strong writing skills required to write compliance reports, and other communications.
- Works well independently in a home office environment on long term projects and as a member of an interdisciplinary team.
- An engaging and informative teacher for regular training of facility personnel regarding Medicare requirements.
- Possesses and conveys high degree of credibility and integrity.
- A desire to constantly improve Medicare management systems and organizational compliance.
- Understands and accepts the unpredictable nature and needs of the compliance function in a large organization.
- Exhibits analytical skills and an understanding of operational processes.
Responsibilities
- Performs Medicare claim review portion of internal compliance audits.
- Conducts internal investigations involving compliance issues.
- Track corrective action plans related to any adverse findings.
- Facilitate other required compliance activities.
- Travel required 70% of the time within California and surrounding areas/states.
Benefits
- medical/dental/vision coverage
- company-provided life insurance
- 401(k) with company match
- sick/vacation plans
- Learning Management System
- training sessions and seminars
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
