Billing Compliance Auditor

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place.

Job Description :

The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice, Behavioral Health, and Personal Care Services (PCS) agencies at Elara Caring to ensure compliance with Medicare and Medicaid regulations and billing rules. Areas of focus for audits will include, but are not limited to eligibility, billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to : (1) conducting audits in accordance with internal policies and procedures and the annual compliance audit work plan; (2) ensuring accuracy of such audits; (3) providing education to agency personnel based on audit results; (4) assisting agencies with corrective action plan development and follow through, and (5) participating in ongoing training to ensure regulatory competency.

At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Billing Compliance Auditor by keeping a team of elite healthcare professionals operational.

To continue to be an industry pioneer delivering unparalleled care, we need a Billing Compliance Auditor who shares our commitment to distinction and progress. Are you one of them? If so, apply today!

Why Join the Elara Caring mission?

Work in a collaborative environment.

Be rewarded with a unique opportunity to make a difference

Competitive compensation package

Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost

Opportunities for advancement

Comprehensive insurance plans for medical, dental, and vision benefits

401(K) with employer match

Paid time off, paid holidays, family, and pet bereavement

Pet insurance

What is Required?

Associate’s degree or higher in Nursing

5 years of experience as a Registered Nurse in Home Health and / or Hospice with coding experience is preferred

Certified Homecare Coding Specialist (HCS-D) and / or Certified OASIS Specialist-Clinical (COS-C) is preferred

Understanding of Federal and State healthcare laws and regulations pertaining to fraud, waste and abuse prevention and patient privacy rights and protections

Demonstrates ability to work effectively across departments or divisions within an organization

Exhibits working knowledge of regulations and reimbursement in home health, hospice, personal care services and behavioral health

Demonstrates the ability to maintain the confidentiality of sensitive financial, clinical, and operational information

Displays patience, courtesy, tact, and kindness.

Valid driver’s license and insurance

Reliable transportation to perform job tasks

You will report to the Director of Compliance Audit.

This is not a comprehensive list of all job responsibilities ; a full job description will be provided.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families.

Elara Caring provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age (40 and older), national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, protected veteran status, or any other basis prohibited under applicable federal, state or local law.

Elara Caring participates in E-Verify and we will provide the Federal Government with your Form I-9 information to confirm that you are authorized to work in the United States. Employers like Elara Caring can only use E-Verify once you have accepted the job offer and completed the Form I-9.

At Elara Caring, pay and compensation are determined by a variety of factors, including education, job-related knowledge, skills, training, and experience. Our compensation structure reflects the cost of labor across different U.S. geographic markets, and may vary based on location.

This is not a comprehensive list of all job responsibilities and requirements; upon request, a job description can be provided.

If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by reaching out to recruiting@elara.com.