Licensed Therapist Compliance Partner (OT, PT, SLP)
About The Position
Ensign Services, Inc.’s Compliance Department is seeking a licensed occupational therapist, physical therapist, or speech therapist to serve as a Therapy Billing Compliance Partner. The role supports compliance across skilled nursing facilities and related providers by performing audits, conducting internal investigations under the direction of the associate and chief compliance officers, and reviewing and analyzing medical records and claims for potential compliance or quality issues. The Compliance Department works closely with field facilities, agencies, and resources to develop strong relationships and promote compliance throughout the organization. In addition to training, oversight, and auditing, the team partners with providers to help them build successful businesses ethically and in compliance with applicable requirements. This is a full-time, employee position with typical business hours that may vary based on workload and travel needs, for a 40-hour workweek. 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 an occupational therapist, physical therapist, or speech therapist with a relevant therapy license.
- Have at least five years of experience in a skilled nursing facility (SNF) environment.
- Reside near a major airport in Utah, Arizona, Washington, or Idaho.
- Have superior interpersonal communication skills.
- Have 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.
- Possess and convey a high degree of credibility and integrity.
- Demonstrate analytical skills and an understanding of operational processes.
- Have basic to intermediate knowledge of Microsoft Office and Excel.
- Be able 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 regular Medicare-requirements training.
- Desire to continually improve Medicare management systems and organizational compliance.
- Understanding and acceptance of the unpredictable nature and needs of compliance work 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 identify possible compliance or quality issues.
- Travel approximately 70% of the time within Arizona, Utah, and surrounding areas or states.
- 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
Career Level
Mid Level
Education Level
No Education Listed
