Clinical Compliance Auditor

Company: LHC Group
Location: Alexandria
Posted on: June 8, 2021

Job Description:

Company Overview

The Clinical Compliance Auditor will report to the Clinical Compliance Audit Manager and will assist the Director with compliance

auditing and monitoring activities within the homecare, hospice and LTAC agencies at LHC Group, Inc. (LHC) to ensure business

areas have processes or policies in place to comply with applicable State and Federal laws and regulations related to Medicare

and Medicaid rules and regulations, as described by the annual compliance work plan developed by the Chief Compliance Officer

(CCO). The clinical and business areas will include, but are not limited to: eligibility, billing, coding, clinical documentation and

referrals. Independent monitoring includes analyzing risk assessments, performing audits (including detailed audits of patient

medical records), creating reports, educating and following up with agencies to ensure processes exist that demonstrate

compliance with applicable State and Federal laws, regulations, policies and procedures. The Clinical Compliance Auditor will

coordinate internal audits, analyses, reviews and investigations of home health, hospice and LTAC locations within LHC as

assigned by the CCO or the manager and provide recommendations to improve compliance and internal controls with applicable

State and Federal laws and regulations related to Medicare and Medicaid.

LHC Group is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home. Hospitals and health systems around the country have partnered with LHC Group to deliver patient-centered care in the home. More hospitals, physicians and families choose LHC Group, because we are united by a single, shared purpose: It's all about helping people.

Essential Functions

Our company, a part of LHC Group, is currently seeking clinicians/professionals that want to join our team to help improve the well being of our patients and their families.

If you're seeking a unique opportunity to take your career to the next level, it just arrived!

• Do you want to be rewarded for your hard work?
• Do you desire to make a difference providing quality care?
• Do you want to be part of a family and not just an employee?
• Flexible schedule for field clinicians
• Competitive pay

LHC Group is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home.

Education & Experience

Experience: 5 years

Education Requirements

• Registered Nurse degree

Experience Requirements

• Significant exposure to Medicare/Medicaid reimbursement and regulations, internal auditing, healthcare, operations, patient care plans and medical records, Stark law, anti-kickback laws and fraud and abuse laws.

Experience Desired

• Significant audit experience
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS) and/or Certified Homecare Coding Specialist (HCS-D) is preferred, along with home health coding experience.

Skill Desired

• Certified OASIS Specialist (COS-C)
• Certified Coder (HCS-D)

Equal Opportunity Employer - vets, disability.

Keywords: LHC Group, Alexandria , Clinical Compliance Auditor, Other , Alexandria, Louisiana