The Compliance Auditor will report to the Corporate Compliance Officer and assist with developing, managing, implementing, auditing and monitoring activities. Will provide training to VNAHG staff to assure compliance, as described in the annual compliance work plan. Strong analytical and communication skills required to ensure service lines and business areas have processes and guidelines in place to comply with applicable State and Federal laws and regulations for Medicare and Medicaid, and other third party insurers. Business areas will include, but are not limited to: eligibility, access center, billing, OASIS, coding, clinical documentation and medical records. Independent monitoring in analyzing risk assessments, performing audits, creating reports and scorecards, educating and following up with agencies to ensure processes exist that demonstrate compliance with applicable State and Federal laws, regulations, policies and procedures.
May be required to travel outside of State to business locations as needed.