Licensed Therapist Compliance Partner (OT, PT, SLP)

Licensed Therapist Compliance Partner (OT, PT, SLP)

Position Type: Full Time, Employee. Salary: $100,000 to $115,000 annually. Location: Field Resource and regularly travels to assigned facilities; must reside near a major airport in one of the following areas: Sacramento, Modesto, Santa Rosa, Davis, Ventura, Los Angeles, or Orange County. Schedule: Typical business hours but may vary depending on workload and travel needs - 40 hours/week.

About the Company: Ensign Services, Inc. ("ESI") is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees. ESI is known as the "Service Center" and provides the facilities and leaders it serves with "back-office" support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people. We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership ("CAPLICO") seriously. We want an individual in this role who will demonstrate these values through actions and words.

About the Opportunity

Ensign Services, Inc.'s (ESI) Compliance Department is seeking a Therapy Billing Compliance Partner. Must be an Occupational Therapist, Physical Therapist or Speech Therapist with at least five years' experience in the skilled nursing environment. Primary responsibilities will involve performing compliance audits, conducting internal investigations under direction of associate and chief compliance officer, reviewing and analyzing medical records and/or claims to detect possible compliance or quality issues. Our compliance philosophy is to work as closely with field facilities, agencies and resources as possible to develop solid relationships that allow us to enhance and foster compliance throughout the organization. We not only provide training, oversight and auditing functions, but we also serve as partners to our providers to assist them in building successful businesses in an ethical and compliant manner.

Job Duties and Responsibilities

• Performs Medicare claim review portion of internal compliance audits.
• Conducts internal investigations involving compliance issues.
• Tracks corrective action plans related to any adverse findings.
• Facilitates other required compliance activities.
• Travel required 70% of the time within California and surrounding areas/states.

Preferred Qualifications

• Occupational, Physical or Speech Language Pathologist Therapy License.
• A minimum of five years' SNF experience.
• Expertise in MDS/PDPM coding rules and regulations.
• Understanding of the legal and regulatory framework governing the skilled nursing industry.
• Ability to work with all levels of management on potentially complex compliance/regulatory issues.

Desired Skills

• Superior interpersonal communication skills.
• Strong writing skills required to write compliance reports, and other communications.
• Works well independently in a home office environment on long term projects and as a member of an interdisciplinary team.
• An engaging and informative teacher for regular training of facility personnel regarding Medicare requirements.
• Possesses and conveys high degree of credibility and integrity.
• A desire to constantly improve Medicare management systems and organizational compliance.
• Understands and accepts the unpredictable nature and needs of the compliance function in a large organization.
• Exhibits analytical skills and an understanding of operational processes.
• Basic to intermediate knowledge of Microsoft Office/Excel.

Additional Information

• Pre-employment criminal background screening required.

What We Offer: We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. We also believe in supporting our employee's professional growth and development through our Learning Management System as well as training sessions and seminars.