Hospice Clinical Compliance & Audit Associate Director (Remote)
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AI Summary
About Us
Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care’s clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, “To Care is an Honor.” Join Ennoble Care today!
Position Summary:
The Hospice Clinical Compliance & Audit Associate Director is responsible for oversight of hospice intake compliance and execution of comprehensive clinical audit activities across the organization. This role ensures documentation accuracy, regulatory compliance, and claim readiness through structured pre-bill reviews, targeted audits, and collaboration with clinical and operational teams. The position strengthens audit readiness, reduces financial risk, and supports revenue cycle efficiency while improving clinical documentation practices.
Clinical Audit & Pre-Bill Review
- Conduct pre-bill clinical chart audits to ensure compliance with Medicare hospice regulations
- Validate documentation supporting terminal prognosis, eligibility, and level of care
- Review face-to-face encounters, certifications, and recertifications
- Identify and escalate compliance risks prior to claim submission
- Hospice Intake Oversight
- Provide ongoing education and guidance to Intake teams on eligibility and documentation standards
- Ensure eligibility criteria are clearly supported and documented
- Partner with intake teams to resolve documentation gaps in real time
External Audit Support
- Perform focused pre-bill audits in preparation for and response to external audits
- Monitor findings and identify trends requiring corrective action
- Support preparation, response, and coordination for external audits (including TPE-related activity)
Specialized Review Areas
- Long Length of Stay (LLOS) reviews
- General Inpatient (GIP) level of care review
- Continuous Care and Respite documentation validation
- Recertification technical and clinical reviews
Compliance Monitoring & Reporting
- Track audit outcomes and identify trends
- Maintain audit tools and reporting mechanisms
- Communicate findings to leadership
Education & Performance Improvement
- Translate audit findings into actionable feedback
- Assist in development of education materials
- Partner with clinical leadership to improve documentation
Collaboration
- Work closely with Compliance, Clinical, Revenue Cycle, and Intake teams
- Support audit readiness
- Promote a culture of compliance
Qualifications
- RN required
- Bachelor’s degree preferred
- 5+ years hospice experience
- 3+ years compliance/audit experience
Full-time employees qualify for the following benefits:
- Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.
- Paid Time Off
- Paid Office Holidays
All employees qualify for these benefits:
- Paid Sick Time
- 401(k) with up to 3% company match
- Referral Program
- Payactiv: pay-on-demand. Cash out earned money when and where you need it!
Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended.
Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.
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