Hospice Clinical Compliance & Audit Associate Director
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Job Description
Hospice Clinical Compliance & Audit Associate Director at Ennoble Care overseeing hospice intake compliance and audit activities for regulatory adherence. Ensuring documentation accuracy, compliance, and claim readiness.
Responsibilities:
- Conduct pre-bill clinical chart audits to ensure compliance with Medicare hospice regulations
- Validate documentation supporting terminal prognosis, eligibility, and level of care
- Review face-to-face encounters, certifications, and recertifications
- Identify and escalate compliance risks prior to claim submission
- Provide ongoing education and guidance to Intake teams on eligibility and documentation standards
- Ensure eligibility criteria are clearly supported and documented
- Partner with intake teams to resolve documentation gaps in real time
- Perform focused pre-bill audits in preparation for and response to external audits
- Monitor findings and identify trends requiring corrective action
- Support preparation, response, and coordination for external audits (including TPE-related activity)
- Track audit outcomes and identify trends
- Maintain audit tools and reporting mechanisms
- Communicate findings to leadership
- Translate audit findings into actionable feedback
- Assist in development of education materials
- Partner with clinical leadership to improve documentation
- Work closely with Compliance, Clinical, Revenue Cycle, and Intake teams
- Support audit readiness
- Promote a culture of compliance
Requirements:
- RN required
- Bachelor’s degree preferred
- 5+ years hospice experience
- 3+ years compliance/audit experience
Benefits:
- Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.
- Paid Time Off
- Paid Office Holidays
- Paid Sick Time
- 401(k) with up to 3% company match
- Referral Program
- Payactiv: pay-on-demand. Cash out earned money when and where you need it!
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