Incident Reporting Coordinator

Philadelphia, PA, PA $17.00-$20.00/year

Job description

All American Home Care

All American Home Care is actively seeking an experienced professional in the field of Compliance as it relates to Incident Reporting to join our Administrative Home Care Team.

The Quality Assurance Coordinator assists in conducting Incident Reports, Compliance reviews and audits for All American Home Care. Reviews and audits encompass a variety of subject matters including those surveyed under State and/or Federal regulations, or laws with a focus on operational compliance.

Essential Duties and Responsibilities

  • Conducts on-site reviews and audits for All American Home Care that are covered by State and Federal laws/regulations as identified by program specifications, including but not limited to, the requirements of the OIG Compliance Program Guidance’s, HIPAA, CMS, and other state specific requirements.
  • Demonstrates knowledge of State and Federal regulations, Medicaid and Medicare Billing and coding rules pertaining to home health. Utilize professional and technical knowledge to analyze and ensure compliance.
  • Prepares comprehensive reports in a timely manner to include findings and recommendations from audit and submit in a timely manner.
  • Analyzes current and past report data for accuracy, trends, and variances to ensure acceptable business practices and procedures have been followed for compliance with federal and state laws and regulations.
  • Conduct research and develop materials on regulatory changes for organizations that can be utilized in education and training.
  • Stays abreast of regulatory changes and Medicare/Medicaid billing and coding requirements. Assists in interpretation and implementation strategies related to these updates and changes.
  • Designs and develops training based on the organizations’ identified needs. Utilizes information from the reviews or audit to identify training or developmental needs of the organization or individual.
  • Assists organization in implementing the overall compliance and privacy program and with internal investigations as requested.
  • Maintains highest level of confidentiality of sensitive material and information.
  • Utilize professional expertise to contribute to the growth and development of the compliance program and various initiatives and projects undertaken by the compliance and risk management programs.
  • Must be ethical, objective, detail-oriented and possess the ability to work effectively in changing environments.
  • Educate organizations on compliance guidelines and changes that affect their business.
  • Requires the ability to work and travel independently on a consistent basis.

Education and Experience

  • Bachelor’s degree or equivalent.
  • Five to eight years’ experience in home care, long term care, continuing care retirement community or similar post-acute care environment in a Quality or Compliance role.
  • Extensive knowledge of Medicare and Medicaid Conditions of Participation and knowledge of Medicare Coding and Billing Requirements preferred.

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