• Identifies and mediates compliance risk areas in relation to local, state, and federal regulations.
• Monitors implementation of the Compliance Program and make regular reports, also communicating trends, concerns and areas of risk to VPs of Operations and local Administrators.
• Assists with the development, evaluation, and implementation of policies, protocols, and initiatives, based upon identified and/or potential areas of risk and governmental focus on compliance issues.
• Assists with review, revision, and evaluation of the company’s compliance program as necessary to meet the changing needs of the organization in its business and regulatory environment.
• Conducts mock surveys and assist agencies in survey preparation and response.
• Coordinates with billing, human resources, and other departments on matters of regulatory compliance.
• Provides compliance education and support to local clinical leadership to ensure compliance functions are understood and implemented within the agency, promoting an understanding and culture of compliance.
• Conducts independent (scheduled and ad hoc) field and desk compliance reviews/audits to evaluate and monitor compliance with standards and procedures implemented by the Company and duties imposed by state and federal laws and regulations.
• Evaluates requests for documents and records from government agencies, payors and other third parties. Gather, submit and track requested documentation. Communicate regarding requests with VP of Compliance, agency leadership and billing counterparts.
• Stays abreast of laws and regulations relevant to Company operations.
• Flexibility to assist in ad hoc projects and available to travel; available to provide job duties for multiple states/agencies.