NHC is looking for a Compliance Auditor for NHC HomeCare Corporate to join our team.
Definition:
The Medicare Compliance Auditor reports to the Director of Clinical Education and, through auditing and monitoring activities, assists in ensuring compliance to state and federal laws, statutes, and regulations related to home health care services and billing processes within NHC HomeCare.
Qualifications:

• Valid, unencumbered multi-state RN or LPN license with at least 5 years clinical experience; Minimum five (5) years' experience in Medicare-reimbursed home health care;
• Experience in auditing and analyzing clinical records;
• Deep working knowledge of the home health industry and of applicable state and federal laws, statutes and regulations, including reimbursement and compliance regulations;
• Demonstrated ability to engage, motivate, and train clinical and operations staff; Strong oral and written communication, interpersonal, and organizational skills; Strong analytical and critical thinking skills;
• Self-directed with ability to work effectively alone or as part of a collaborative team; Computer literacy to the extent required to competently perform job duties;
• Commitment to best practice patient care with optimum patient outcomes and satisfaction provided in compliance with regulations;
• Maintains current Driver's License, car insurance, and safe driving record; and Able to meet Background Screening requirements.

Specific responsibilities:

• Serve as a subject matter expert with deep working knowledge of applicable laws, statutes and regulations; Serve as a knowledgeable resource regarding NHC policies and procedures;
• Perform detailed audits of documents, including medical records, to ensure compliance to government regulations. Related audits include but may not be limited to RCDs, ADRs, CERTs, RACs, ZPICs, TPE audits, and Reopening Process reviews;
• Compose professionally formatted letters submission to the government contractors; Submit records and appeals in a timely manner with accurate tracking and status reports; Prepare for and participate in Administrative Law Judge (ALJ) hearings;
• Initiate and track follow-up and resolution to investigations, document requests and audit findings with agency staff and Regional/corporate partners as needed;
• Maintain the confidentiality of protected health information and NHC business practices; Competently navigate the EMR system to access needed documents;
• Participate in conference calls, webinars, and on-site meetings/training as assigned or requested; Collaborate on developing and providing targeted teaching and training programs via appropriate instructional methods including instructor-led group trainings, on-line learning, videos/webinars, over-the- phone training, or workshops;
• Contribute to the development of written processes to ensure compliance. Perform other functions as required for position-related activities.

Contributes to the achievement of company goals, by

• Assuring efficient and effective management of related human and material resources;

National HealthCare Corporation is recognized nationwide as an innovator in the delivery of quality care. Our goal is to provide a full range of extended care services, designed to maximize the well-being and independence of patients of all ages. We are dedicated to meeting patient needs through an interdisciplinary approach combining compassionate care with cost-effective health care services.

The NHC environment is one of encouragement and challenge ... innovation and improvement ... teamwork and collaboration ... and honesty and integrity. All NHC employees are committed as partners, not only to the health of our patients, but to the well-being of the communities we serve.

If you are interested in working for a leader in senior care and share NHC's values of honesty and integrity, please apply today and find out more about us at nhccare.com/

We look forward to talking with you!!

EOE