Sr. Compliance Auditor and Educator (Skilled Home Health and Hospice)

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place.

Job Description:

Senior Compliance Auditor and Educator (Remote)

At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Senior Compliance Auditor and Educator. Being a part of something this great starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers.

To continue to be an industry pioneer in delivering unparalleled care, we need a Senior Compliance Auditor and Educator with commitment and compassion. Are you one of them? If so, apply today!

Why Join the Elara Caring mission?

• Work in a collaborative environment.
• Be rewarded with a unique opportunity to make a difference.
• Competitive compensation package
• Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost
• Opportunities for advancement
• Comprehensive insurance plans for medical, dental, and vision benefits
• 401(K) with employer match
• Paid time off, paid holidays, family, and pet bereavement
• Pet insurance

As Senior Compliance Auditor and Educator, you’ll contribute to our success in the following ways:

• Monitors regulations and communicates changes/updates to the Compliance Audit Manager.
• Assists in the development of all compliance and quality education as well as updates to compliance resource manuals, policies, standard operating procedures, and tools.
• Provides secondary review/oversight to ensure audits are accurate prior to finalization and auditors understand and adhere to billing rules in conducting audits, when needed.
• Assists in training staff using a collaborative, targeted education approach and program following audit completion to ensure agencies understand and have the tools needed to correct identified deficiencies.
• Assists with initial, and ongoing training to auditors to ensure understanding of all applicable regulatory and billing requirements.
• Monitors trends among audit deficiencies, recommends and develops broad-based training to assist in remediating identified issues.
• Collaborates with clinicians, managers, account executives, intake coordinators, directors, and administrative staff to facilitate compliance with all pertinent regulatory requirements.
• Serves as a resource to clinicians, Clinical Managers and others regarding coding, documentation, OASIS guidelines, and related CMS questions and concerns.
• Collaborate with other members of the Compliance Department to ensure alignment and visibility across functional compliance areas.
• Assists with analysis of key compliance metrics and drives remediation based on identified outliers.
• Completes audits, as needed, and prepares written audit results for reporting to the Compliance Audit Manager, the executive leadership team, and the Compliance Committee of the Board.
• Performs other duties/projects as assigned.

What is Required?

• Associate’s Degree in Nursing is required.
• Bachelor’s Degree in Nursing is preferred.
• 5+ years of experience in Corporate compliance including healthcare coding or billing audits is required.
• 2+ years of experience in a leadership role is required.
• Must be Certified Coding Specialist (HCS-D), Certified OASIS Specialist Clinical (COS-C) Certified or willing to obtain within 1 year of employment.
• Experience as an RN in home health or Hospice coding experience is required.
• Proficiency in MS Office Suite (Word, Excel, PowerPoint) is required.
• Sit, stand, bend, lift and move intermittently and be able to lift at least 25 lbs.
• Move equipment and supplies necessary for job functions

You will report to the Compliance Audit Manager.  

We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families.

Elara Caring provides equal employment opportunities to all emp