Risk Adjustment Coding Jobs in Nevada

Licensed Therapist Compliance Partner (OT, PT, SLP)

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.

About the Company

Ensign Services, Inc. is a national leader in the growing healthcare industry. We are a progressive company that provides service and support to over 360 long-term care facilities located across more than 17 states, and we are continuing to grow. These operations are supported by ESI’s “Service Center,” a world-class service team that provides clinical, legal, human resources, accounting, compliance, information technology, construction and other resources necessary to allow on-site leaders to focus squarely on day-to-day business. What sets ESI apart from other companies is the quality of our most valuable resource - our people.

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.

Duties:

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

Experience/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:

• Salary: $100,000 to $115,000
• Number of Positions Available: 1
• Position Type: Full Time, Employee
• Benefits: Medical, dental, vision, life & AD&D Insurance Plans, 401(k) with matching contribution, vacation, sick and holiday pay
• Schedule: Typical business hours but may vary depending on workload and travel needs - 40 hrs/week
• 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, CA area.
• Pre-employment criminal background screening required.

Ensign Services, Inc. is an Equal Opportunity Employer.