Licensed Therapist Compliance Partner (OT, PT, SLP)
About The Position
Ensign Services, Inc.’s Compliance Department is seeking a Therapy Billing Compliance Partner. The role is intended for a licensed Occupational Therapist, Physical Therapist, or Speech Therapist with at least five years of skilled nursing facility experience. The position focuses on therapy billing compliance, including reviewing Medicare claims and medical records, conducting internal investigations under the direction of the associate and chief compliance officer, and identifying potential compliance or quality issues. The Compliance Department works closely with facilities, agencies, and field resources to build relationships and foster compliance across the organization. The role provides training, oversight, and auditing, and partners with providers to support ethical, compliant business operations. This is a full-time employee position with typical business hours, though the schedule may vary with workload and travel needs. It is a field resource role requiring regular travel, including travel approximately 70% of the time within Arizona, Utah, and surrounding areas or states. The employee must live near a major airport in Utah, Arizona, Washington, or Idaho.
Requirements
- Be a licensed Occupational Therapist, Physical Therapist, or Speech Therapist.
- Have at least five years of experience in a skilled nursing environment.
- Be able to travel approximately 70% of the time within Arizona, Utah, and surrounding areas or states.
- Reside near a major airport in Utah, Arizona, Washington, or Idaho.
- Have superior interpersonal communication skills and strong writing skills for compliance reports and other communications.
- Be able to work independently in a home office environment on long-term projects and as part of an interdisciplinary team.
- Have analytical skills and an understanding of operational processes.
- Have basic to intermediate knowledge of Microsoft Office and Excel.
- Demonstrate credibility and integrity and be willing to work with all levels of management on potentially complex compliance and regulatory issues.
Nice To Haves
- Expertise in MDS/PDPM coding rules and regulations.
- Understanding of the legal and regulatory framework governing the skilled nursing industry.
- Ability to serve as an engaging and informative teacher for facility personnel.
- Desire to continually improve Medicare management systems and organizational compliance.
- Ability to adapt to the unpredictable nature and needs of the compliance function in a large organization.
Responsibilities
- Perform the Medicare claim review portion of internal compliance audits.
- Conduct internal investigations involving compliance issues.
- Track corrective action plans related to adverse findings.
- Facilitate other required compliance activities.
- Review and analyze medical records and/or claims to detect possible compliance or quality issues.
- Provide regular training to facility personnel regarding Medicare requirements.
Benefits
- Medical, dental, and vision coverage
- Company-provided life insurance
- 401(k) with company match
- Sick and vacation plans
- Professional growth and development through a Learning Management System, training sessions, and seminars
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
