Quality & Compliance Coordinator

About this position as a Quality & Compliance Coordinator

Under the direction of the Quality & Compliance Manager, the Quality & Compliance Coordinator coordinates the administrative workflow for the Patient Notification of Hospice Non-Covered Items, Services, and Drugs (the Addendum), from identification of applicable hospice elections through documented furnishing and follow-up.

Responsibilities include tracking receipt, completion, accuracy, and timely furnishing; monitoring compliance with regulatory requirements and organizational processes; identifying and escalating documentation deficiencies; and collaborating with clinical and administrative teams to facilitate timely completion and delivery. The coordinator supports documentation of clinical coverage determinations but does not independently determine whether conditions, items, services, or drugs are related to the terminal illness and related conditions.

The Quality & Compliance Coordinator also provides administrative, data management, auditing, and project support to the Quality Review, Quality & Compliance, and Infection Control teams.

This is a full time 40 hours per week position working 8:00am-4:30pm

What will you do as a Quality & Compliance Coordinator

• Generates reports from the electronic health record (EHR) system, including but not limited to the Hospice Addendum Worklist, Hospice QA/Coding Report, and Census Change Report.
• Reviews hospice Addendum documentation for completeness, accuracy, and compliance with applicable regulatory requirements and organizational policies
• Reconciles applicable Medicare hospice elections against the Addendum worklist to identify missing records, including elections with no identified non-covered items.
• Tracks clinical notifications of changes affecting Addendum determinations and coordinates preparation and furnishing of updated Addenda under applicable requirements and organizational policy.
• Tracks hospice patient admissions to ensure the required Addendum documentation is initiated and created in the EHR.
• Collaborates with clinical teams to facilitate timely furnishing of the Addendum to each patient or representative, utilizing DocuSign, established scheduling workflows, and other appropriate communication methods.
• Transfers information documented in the Hospice Coverage Determination note in the EHR to the Addendum.
• Identifies and communicates discrepancies to the Hospice Medical Director (HMD) for review and resolution before the Addendum is sent for furnishing to the patient or representative
• Identifies and communicates incomplete, untimely, or otherwise deficient Addendum
• documentation to the appropriate Patient Care Manager (PCM) and Quality & Compliance Manager for follow-up and resolution
• Collaborates with certified coders, hospice physicians, Patient Care Managers, and other members of the interdisciplinary team as needed to obtain, clarify, or validate required documentation.
• Updates and monitors Addendum worklists multiple times throughout each workday to support timely processing, follow-up, and completion.
• Identifies and monitors trends in the Addendum process and conducts audits as requested to evaluate compliance, identify documentation gaps, and recommend opportunities for process improvement and consistency.
• Assists the Quality team with regulatory survey and audit preparation, including document retrieval, record review, and other survey-related activities, as needed.
• Consistently applies the HopeHealth values in all aspects of work, complying with established HopeHealth’s purpose, policies, processes and objectives in quality assurance, safety, environment, infection control and HIPAA compliance.
• Participates in special projects and performs additional duties and responsibilities as assigned
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What are the qualifications to be a Quality & Compliance Coordinator

• Associate degree required; bachelor's degree preferred
• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
• The qualifications listed below represent the knowledge, skills, and abilities required.
• Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

What are the job benefits?

 For your health and peace of mind:

• Medical, dental and vision insurance
• Retirement plan with employer contribution
• Pre-tax flexible spending account for healthcare and dependent care
• Disability coverage
• Discounts on voluntary insurance programs
• Life and long-term-disability insurance
• Mileage reimbursement

 For your wellbeing:

• Paid time off (PTO) and paid holidays
• A caring culture that supports your wellbeing

For your career:

• A robust orientation programs
• Educational assistance
• Reimbursement for certifications 
• HopeHealth Clinical Education Lab (continuing education)

Discover a career that transforms lives – including yours.

At HopeHealth, health care is more than a career choice. It’s a calling.

You can see it in our incredible team, who are as compassionate as they are talented. You can see it in the trust that our patients and families place in us every day.

And you can see it in our values – as a health care organization, and as an employer. At HopeHealth, we care deeply about every life we touch, including yours. We’re committed to giving employees the support they need to not only excel at their jobs, but to love what they do.

Join us, and you’ll be part of a team that inspires you, a workplace that invests in you, and a mission that brings hope and dignity to patients and families every day.

HopeHealth is a not-for-profit market leader in the areas of home health, palliative and hospice care serving Massachusetts and Rhode Island.

Our Hospice Care Team

HopeHealth’s hospice care team provides comfort and support to patients who are in the advanced stages of serious illness or nearing the end of life.

Join our team, and you’ll:

• Help patients and families make every moment count. Hospice is a special calling. Your work will help patients live as comfortably and fully as possible, and provide meaningful support for everyone in the family. As part of our team, you’ll provide patients, and their loved ones, with a peaceful end-of-life setting.
• Know that your expertise and unique perspective are valued. In our inclusive work culture, you’ll be free to work autonomously while feeling authentic support from your team. You’ll experience the mutual respect, collaboration and trust of a healthcare team that’s committed to going above and beyond for every patient – and for every member of the team.
• Enjoy a flexible work schedule and generous benefits. Work full-time, part-time or per diem with scheduling flexibility to maximize your work/family life balance. Benefits include competitive compensation package, health care coverage, education reimbursement, and an employer-match retirement plan.
• Be part of a leading team. For over 40 years, HopeHealth Hospice has set the gold standard for end-of-life care. We’re the second-oldest hospice in the country, and one of the largest not-for-profit hospice providers in New England. We are committed to giving all of our employees the skills and support they need to deliver the best possible patient care.

HopeHealth is an Equal Opportunity Employer

Our Commitment to Diversity, Equity and Inclusion 

HopeHealth is committed to advancing diversity, equity and inclusion in the workspace. We believe that attracting, developing and empowering exceptional people will allow us to continue to deliver the best care for our patients and families. 

All qualified individuals – inclusive of race, color, religion, sex, gender, sexual orientation, national origin, age and ability – are warmly welcome at HopeHealth. 

8:00am-4:30pm
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