Hospice of the East Bay (HEB) is a community-based hospice providing compassionate end-of-life care to patients and families across the East Bay. Our interdisciplinary team supports patients regardless of ability to pay, with bereavement support provided for up to one year following a loss. Join us and be part of a mission-driven organization consistently recognized as a “Best Place to Work.”
The Corporate Clinical Compliance Auditor is responsible for performing oversight activities to ensure compliance with all regulatory guidelines and quality initiatives including, but not limited to, those set forth in the annual Compliance Auditing and Monitoring Plan.
Job Responsibilities:
- Assists with the execution of a comprehensive audit program, and with the development and execution of associated audit tools.
- Conducts ongoing audits of Medical Records, employee health files and other elements required by law and regulations.
- Presents findings as directed, by way of audit reports and PowerPoint presentations.
- Assists with the investigation of compliance and regulatory risk issues as directed.
- Serves as a subject-matter resource to organizational staff for federal, state, and local regulations on day-to-day issues.
- Assists with efforts to prepare records for external agency reviews; to include auditing, copying, and summarizing findings (drafting letters).
- Reviews, investigates, and prepares written documentation to respond to third party denials.
- Assists with training of IDT and clinical staff members to assure understanding of regulatory requirements of their position.
- Collaborates with other departments to direct compliance issues to appropriate channels for investigation and resolution.
- Participates in agency surveys, as needed.
- Performs other duties as assigned.
Qualifications:
- Valid RN license required.
- Minimum three years of hospice experience required.
- Hospice & Palliative Care Certification preferred.
- Experience in healthcare compliance preferred.
- Strong computer skills with a willingness to learn new systems. Experienced user of Microsoft Office is required, especially Word, PowerPoint and Excel.
- Strong interpersonal skills.
- Demonstrated ability to work independently and organize work load.
- Demonstrated accuracy, dependability; must be detail oriented.
- Demonstrated ability to communicate clearly and effectively both in verbal and written English (including audit reports and presentations).
- Demonstrated knowledge of appropriate communication skills:
- Ability to communicate with both internal and external customers.
- Ability to effectively present information in one-on-one and small group situations to both internal and external customers.
- Ability to effectively present information in large group situations
- Familiar with adult learning principles.
- Ability to problem solve and deal with problems involving many variables in both standard and exceptional situations.
- Valid driver’s license and required liability insurance
Benefits:
- 403b Retirement Account and generous company match.
- Medical, Vision, and dental; some plans qualify for a Health Saving Account (HSA)
- Up to 27 days of PTO/Holiday
- Group & Voluntary Life / Accidental Death & Dismemberment Insurance
- Tuition Reimbursement
- Pet Insurance
- Employee Discounts
- Employee Assistance Program
- Work with passionate team members that have the same commitment to our organization as you.