Compliance Specialist

Job Type


Full-time

Description

Work Where You Matter!

At Lifecare Home Health Family we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient's quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter.

Position Overview

The Compliance Specialist is responsible for assisting with the development and implementation of the compliance audit program to ensure regulatory adherence, risk mitigation and operational integrity. This role ensures that Lifecare Home Health Family complies with federal and state laws and regulations and internal policies by identifying potential risks and working cross-functionally to implement corrective actions. The Compliance Specialist will lead risk assessments, internal audits and compliance investigations while collaborating with leadership to mitigate risks and strengthen internal controls.

Requirements

Requirements/Qualifications

• Extensive knowledge of hospice Local Coverage Determinations (LCDs)
• 2+ years of compliance auditing, internal audit or regulatory compliance experience.
• Extensive knowledge of audit methodologies, internal controls and risk assessments.
• Strong understanding of healthcare fraud, waste, and abuse prevention, coding compliance, and billing practices within the context of hospice care.
• Experience in healthcare, finance, billing, coding, compliance and government regulations.
• Ability to build relationships with internal and external stakeholders, including leadership, clinical teams, providers, payers, and regulatory bodies.
• Additional certifications in healthcare compliance, law, privacy, data security, or information management are a plus.
• Experience working collaboratively with regulatory agencies, auditors, and healthcare providers to ensure compliance with hospice requirements.
• Strong analytical and problem-solving skills, with the ability to identify compliance risks, assess organizational performance, and develop actionable solutions.
• Ability to pass DHS background study.

Preferred

• RN or LPN with hospice or homecare governmental audit (Additional Documentation Requests (ADRs) experience strongly preferred.
• Excellent verbal and written communication skills with the ability to clearly communicate complex compliance issues to senior executives and staff members at all levels.
• Preferred Certifications:
• Certified Hospice & Palliative Care Nurse (CHPN)
• Certified in Healthcare Compliance (CHC)