Field Specialist Corp Compliance

Compliance Dallas, Texas Full Time Job ID: 33572


Description

AccentCare is looking for passionate clinicians committed to delivering exceptional care in the home.

We are committed to quality patient outcomes—delivering evidence-based care in the home—and providing comprehensive training to further develop our staff along with continuing education and promotional opportunities.

Come join the AccentCare team and Make A Difference every day.

Job Description: Hospice Compliance Field Specialist

POSITION SUMMARY: Support and enhance the AccentCare Compliance Program with an emphasis on our Hospice service line. Coordinate with the Clinical Department with oversight of hospice audits/reviews to validate compliance with established laws, regulations, policies, and managerial guidelines. Investigate reports of alleged non-compliance, and work with management representatives to correct issues.  Develop and implement training, Plans of Correction, and other action plans.

RESPONSIBILITIES:

  • Serves as direct compliance resource for Hospice Operations and offices in assigned regions
  • Coordinates with Hospice Clinical Operations in conducting oversight activities and managing associated corrective action plans
  • Investigates reports of non-compliance as assigned, with a focus on Hospice issues/concerns
  1. Documents investigation findings and outcomes in accordance with department procedures
  2. Monitors and documents corrective action plans
  • Conducts ongoing and targeted compliance oversight audits, which may include patient chart reviews
  • Develops and conducts Compliance educational offerings; provides webinars and in-services as needed
  • Assists Hospice Clinical Operations with day to day compliance and regulatory matters
  1. Attends IDG meetings when applicable
  2. Serves as a Liaison to Hospice Medical Directors, providing education and training as applicable
  • Proactively identifies systemic issues and prepares solutions to address them in a timely manner, up to and including coordinating workgroups and meetings.
  • Coordinates with legal counsel and Hospice Clinical Operations departments to confirm adherence to laws and regulations relating to new or revised products and service offerings.

EXPERIENCE/TRAINING/EDUCATION/CERTIFICATION:

Required Qualifications

  • Active Registered Nurse (R.N. license)
  • Minimum 5 years’ experience in increasingly responsible positions in a healthcare environment including experience in Hospice and experience with compliance/regulatory matters
  • Project management experience
  • Experience conducting compliance investigations, preferably in health care setting
  • Experience in developing and conducting auditing and monitoring (Internal Audit , Quality Improvement or QAPI)
  • Understanding of revenue cycle and reimbursement for federally funded programs and private payers
  • Knowledge of continuous improvement, change management
  • Excellent written and verbal communication skills

 Preferred Qualifications:

  • Bachelor’s Degree in Health Information Management, Health Care Administration, or other related health care field
  • Extensive knowledge of Hospice regulatory environment
  • Statistical data analysis experience
  • Experience with quality reporting and compliance submissions

SKILLS/ABILITIES:

  • Knowledge and technical proficiency with Microsoft Office applications to include Word, Excel, and PowerPoint, ideally experienced in HCHB (HomeCare HomeBase) EMR system.
  • Group facilitation and presentation skills
  • Excellent analytical, written and oral communication skills
  • Flexible, motivated by challenges; creative; Interpersonal skills
  • Interpersonal skills, able to work independently as well as with teams
  • Ability to work in a fast paced environment, adapt to changing deadlines and prioritize work
  • Must consistently demonstrate the highest level of professionalism and discretion