healthcare
Posted 2 days agoHospice Clinical Compliance & Audit Associate Director (Remote)
at Ennoble Care
Remote
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
- Ensure eligibility criteria are clearly supported and documented
- 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
- Promote a culture of compliance
Requirements
- Qualifications RN required
- Bachelor’s degree preferred
Experience
- 5+ years hospice experience
- 3+ years compliance/audit experience
Benefits
- Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia.
- Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust.
- Full-time employees qualify for the following 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