Director of Compliance and Education

LPN/RN

Responsible for:

Must function as the point of contact and representative for all surveys and related tasks.

Will serve as a compliance resource for all of Cura-HPC.

Will drive specific compliance and regulatory projects requested by the Vice- President and Compliance Board.

Duties and Responsibilities

*Perform on site Mock Surveys quarterly or prn.

*Must have a Growth initiative.

*Strong focus on the accurate technical billing execution.

*Responsible for the management and execution of PIPs [in conjunction with the Branch Directors]

*Knowledge of Medical Coding for billing and accurate recording for patient records.

*Responsible to drive and coordinate tasks and management associate with the following audits: Special Focus Program [SFP], Targeted Probe and Education [TPE], Supplemental Medical Review Contractor [SMRC], Unified Program Integrity Contractor [UPIC] Recover Audits, Office of Inspector General [OIG], and the Department of Justice.

*Responsible for the survey readiness of each location ongoing.

*Strong initiative to make sure front-end billing is accurately recorded by the admissions       coordinator [consents are accurately completed]

*Owner, trainer, and driver of the accurate utilization of the HOPE tool.

*Responsible to complete weekly schedule and reports as needed.

*Be personally accountable to set and represent Cura-HPC’s cultural standards

*New staff training on compliance and regulatory standards

* Verify Physicians license and CMS verification are up to date and accurately ongoing

*Coordination of compliance training for staff, also includes the set-up of Weatherbee training and travel.

* Strong communication skills and teamwork skills with patients, families, hospice, leadership, staff, and Liaisons.

* Serve as a resource for patients and families if needed.

*Study and become extremely knowledgeable of the hospice benefit to educate staff and branch directors in a consultative, supportive manner.

*Responsible for the continued review of Policies and Procedures and the documented QAPI program, in conjunction with other leadership.

*Participates monthly in the Triple check process.

*Assist with the roll-out of programs and EMR and other systems.

*Reviews and assist with the education and training on the PEPPER reports. Directly responsible for creating the annual Plan of Corrections based on the high-risk areas within the report.

*Must exemplify the companies, mission, vision, and attitudinal traits as a designated representative of the company.

*Instrumental in the education and training of providing Continuous Care and General Impatient Care if eligible as stated in the hospice benefit.

Has strong background in Hospice Administration. Hospice Compliance/Quality Assurance Performance Improvement Coordination experience a plus. 5+ years of supervisory/administrative experience in healthcare.