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Quality & Compliance Auditor

2 months ago

Land O' Lakes, United States Gulfside Healthcare Services, Inc. Full time
Job DescriptionJob Description

Reporting to the Quality & Patient Safety Manager, the Quality & Compliance 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.
  • Home Health experience preferred.
  • A minimum of one to three years’ experience in one or more of the following fields: health data management, data analysis, auditing, or a closely related field preferred.
  • Knowledge of Florida Home Health regulations and statues, Medicare conditions of participation and payment, and Joint Commission standards preferred.
  • Knowledge of and experience with OASIS and PDGM preferred.
  • RN preferred

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES:

  • Monitors, reviews and/or audits patient charts or other data for compliance with regulatory requirements.
  • Provides regular reports to management on patient chart compliance and various measures.
  • Conducts ad hoc reviews and audits based on high risk, problem prone, or otherwise specified areas.
  • Maintains tools, reports, data, metrics, benchmarking, tracking, and trending patient and compliance data.
  • Participates in various committees to address risks and opportunities for improvement, to report on compliance data, and collaborate in process improvement initiatives.