Quality Assurance and Compliance Specialist
2 weeks ago
Under the supervision of the Quality & Patient Safety Manager, the Quality Assurance and Compliance Specialist plays a crucial role in the continuous evaluation and oversight of adherence to regulatory standards in patient documentation.
EDUCATIONAL BACKGROUND AND EXPERIENCE:
- A Bachelor's degree in a healthcare or data management discipline or equivalent experience is preferred.
- Experience in Home Health is an advantage.
- A minimum of one to three years' experience in areas such as health data management, data analysis, auditing, or a related field is preferred.
- Familiarity with Florida Home Health regulations, Medicare participation conditions, and Joint Commission standards is desirable.
- Experience with OASIS and PDGM is a plus.
KEY RESPONSIBILITIES:
- Evaluates, reviews, and audits patient records or other information to ensure compliance with regulatory standards.
- Delivers regular updates to management regarding patient record compliance and various performance metrics.
- Conducts targeted reviews and audits in areas identified as high risk or problematic.
- Maintains tools, reports, data, metrics, and compliance tracking to monitor patient and compliance information.
- Engages in various committees to discuss risks and opportunities for enhancement, report on compliance metrics, and collaborate on process improvement initiatives.
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