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Compliance Auditor-HH & HSP

Overview:

At Piedmont Healthcare, youll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future.

Responsibilities:

This position is responsible for conducting risk-based audits focused on documentation integrity, medical necessity, and regulatory compliance for home health and hospice services. This role also supports the Piedmont's Compliance Program by identifying areas of risk, leading investigations, and delivering targeted education to mitigate future compliance vulnerabilities.

Qualifications:

Education

• Bachelors Degree

Work Experience

• 3 years of experience in healthcare auditing or coding, with a focus on home health and hospice. Required

Licenses and Certifications

• RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required
• Certified in Healthcare Compliance (CHC) Preferred or
• Certified Professional Medical Auditor (CPMA) Preferred or
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) Preferred or
• Certified Home Care Clinical Specialist (HCS-Dor HCS-O) Preferred or
• Certified Hospice and Palliative Care Nurse (CHPN) (for clinical candidates) Preferred or
• Certified OASIS Specialist-Clinical (COS-C) Preferred

Business Unit : Company Name:

Piedmont Healthcare Corporate