Compliance & Quality Auditor

Job Description

Job Description

Reporting to the Director of Quality & Accreditation, the Compliance & Quality Auditor is responsible for ongoing analysis and review of regulatory compliance in patient records.

EDUCATION AND QUALIFICATIONS:

• A bachelor’s degree in a healthcare or data management related field or relevant experience, preferred.
• Hospice experience preferred.
• A minimum of one year experience in one or more of the following fields: health data management, data analysis, auditing, or a closely related field preferred.
• Knowledge of Florida Hospice regulations and statues, Medicare conditions of participation and payment, and Joint Commission standards, preferred.
• Knowledge of and experience with HQRP and HOPE, preferred.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES:

• Monitor, review, and/or audits patient charts or other data for compliance with regulatory requirements.
• Provide staff feedback on audit corrections and observations with staff.
• Provide regular reports to management on patient chart compliance and various measures.
• Conduct ad hoc reviews and audits based on high risk, problem prone, or otherwise specified areas.
• Maintain tools, reports, data, metrics, benchmarking, tracking, and trending patient and compliance data.
• Participate in various committees to address risks and opportunities for improvement, to report on compliance data, and collaborate in process improvement initiatives.

EEO Statement:

Gulfside Healthcare Services, Inc. is committed to Equal Employment Opportunity (“EEO”) and complies with all federal, state, and local laws that prohibit workplace discrimination and unlawful retaliation.

NOTE: All Gulfside Healthcare Services positions (except some Thrift Shoppe Positions) require an AHCA Level 2 Fingerprint screening for eligibility through the AHCA Florida Care Provider Background Screening Clearinghouse. Please refer to this link for more information on this: https://info.flclearinghouse.com