Job description

The RN Home Health Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice, Behavioral Health, and Personal Care Services (PCS) agencies at Elara Caring to ensure compliance with Medicare and Medicaid regulations and billing rules. Areas of focus for audits will include, but are not limited to eligibility, billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting audits in accordance with internal policies and procedures and the annual compliance audit work plan; (2) ensuring accuracy of such audits; (3) providing education to agency personnel based on audit results; (4) assisting agencies with corrective action plan development and follow through, and (5) participating in ongoing training to ensure regulatory competency.

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 Billing Compliance Auditor by keeping a team of elite healthcare professionals operational.

To continue to be an industry pioneer delivering unparalleled care, we need a Billing Compliance Auditor who shares our commitment to distinction and progress. Are you one of them? If so, apply today!

Why Join the Elara Caring mission?

• You’ll work in a collaborative environment
• You’ll be rewarded with a unique opportunity, leading an elite team of healthcare professionals
• Outstanding compensation package
• Comprehensive onboarding with mentorship and preceptor support
• Ongoing Continuing Education (CEs) available at no cost
• Opportunities for advancement
• Medical, dental, and vision benefits after 30 days of employment
• 401K match and paid time off for full-time staff
• Fleet vehicles available, per company policy
• COVID-19 Prepared with Personal Protective Equipment and precautions

What is Required?

• Associate’s degree or higher in Nursing
• 5 years of experience as a Registered Nurse in Home Health and/or Hospice with coding experience is preferred
• Certified Homecare Coding Specialist (HCS-D) and/or Certified OASIS Specialist-Clinical (COS-C) is preferred
• Understanding of Federal and State healthcare laws and regulations pertaining to fraud, waste and abuse prevention and patient privacy rights and protections
• Demonstrates ability to work effectively across departments or divisions within an organization
• Exhibits working knowledge of regulations and reimbursement in home health, hospice, personal care services and behavioral health
• Demonstrates the ability to maintain the confidentiality of sensitive financial, clinical, and operational information
• Displays patience, courtesy, tact, and kindness.
• Valid driver’s license and insurance
• Reliable transportation to perform job tasks

You will report to the Director of Compliance Audit.

This is not a comprehensive list of all job responsibilities; a full job description will be provided.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

Job Type: Full-time

Pay: $70,000.00 - $75,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Continuing education credits
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Pet insurance
• Referral program
• Tuition reimbursement
• Vision insurance

Medical specialties:

• Home Health

Standard shift:

• Day shift

Weekly schedule:

• Monday to Friday

Experience:

• Home Health: 2 years (Required)

License/Certification:

• RN License (Required)

Work Location: Remote

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