Compliance Therapy Specialist supporting compliance services across skilled nursing facilities and assisted living facilities. Conducting audits, investigations, and providing regulatory guidance to leadership and field teams.
Responsibilities
Conduct compliance audits and investigations related to therapy services, billing practices, HIPAA, clinical care, and other identified risk areas or regulatory concerns.
Utilize analytical review, computer auditing tools, and statistical sampling methods.
Prepare clear, timely audit and investigation reports.
Follow up on corrective action plans (CAPs) and overpayments to ensure regulatory compliance.
Assist the Chief Compliance Officer with development, implementation, and evaluation of audit tools and compliance program effectiveness.
Partner closely with operations and field leadership to support compliance, quality of care, and customer satisfaction.
Requirements
Licensed as a Physical Therapist, Occupational Therapist, or Speech Language Pathologist with active, unrestricted state licensure.
National certifications (e.g., NBCOT, APTA, ASHA) required as applicable.
Minimum of five (5) years of experience providing or managing therapy services in a Skilled Nursing Facility (SNF) setting.
Experience with Medicare Part A and B and other payors in multi-facility or multi-state environments.
Ability to work with all levels of staff and leadership on complex regulatory issues.
Prior compliance experience preferred.
Strong analytical and critical decision-making skills.
Excellent written and verbal communication skills.
High degree of credibility, integrity, and professionalism.
Proficiency with Microsoft 365 tools (Teams, Word, PowerPoint, Excel).
Benefits
Support ethical, compliant, and high-quality compliance services across a multi-facility organization.
Regular travel and field-driven, hands-on, focused hybrid approach to compliance.
Provide regulatory guidance related to therapy practice and/or compliance requirements.
Conduct training and education for field teams, leadership, and internal resources.
Participate in onsite and remote audits, investigations, meetings, and risk assessments.
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