Licensed Therapist Compliance Partner (OT, PT, SLP)

Ensign Services•Boise, ID
•$100,000 - $115,000

About The Position

Ensign Services, Inc. (ESI) is seeking a licensed Occupational Therapist, Physical Therapist, or Speech Therapist for its Compliance Department. The role focuses on therapy billing compliance in the skilled nursing environment, including compliance audits, internal investigations, and review and analysis of medical records and claims to identify potential compliance or quality issues. The Compliance Partner works with facilities, agencies, and other resources to foster compliance, provide oversight and training, and help providers build successful businesses ethically and compliantly. This is a full-time employee position with a typical 40-hour workweek during business hours, though schedules may vary with workload and travel. It is a field resource role requiring regular travel to assigned facilities, including travel approximately 70% of the time within Arizona, Utah, and surrounding areas or states. The employee must reside 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 facility environment.
  • Have expertise in MDS/PDPM coding rules and regulations.
  • Understand the legal and regulatory framework governing the skilled nursing industry.
  • Be able to work with all levels of management on potentially complex compliance and regulatory issues.
  • 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.
  • Be willing 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.

Nice To Haves

  • A desire to continually improve Medicare management systems and organizational compliance.
  • Ability to serve as an engaging and informative teacher for regular training of facility personnel regarding Medicare requirements.
  • A high degree of credibility and integrity.
  • 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 under the direction of the associate and chief compliance officer.
  • Review and analyze medical records and claims to identify potential compliance or quality issues.
  • Track corrective action plans related to adverse findings.
  • Facilitate other required compliance activities.
  • Provide training and oversight to facility personnel and support providers in maintaining ethical and compliant operations.

Benefits

  • Medical, dental, and vision coverage.
  • Company-provided life insurance.
  • 401(k) with company match.
  • Sick and vacation plans.
  • Learning Management System, training sessions, and seminars to support professional growth and development.
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