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.
Advanced Respiratory Therapist providing respiratory care for neonate to geriatric populations at VCU Health. Responsibilities include education, compliance, diagnostics, and patient assessment.
Rehabilitation Technician at Children’s Hospital of Richmond assisting licensed therapists with patient care. Performing administrative duties to support therapy operations in pediatric outpatient setting.
Rehabilitation Technician providing patient - care activities at Children’s Hospital under supervision. Assisting with administrative tasks and maintaining a safe environment for pediatric patients.
Therapy Area Specialist providing guidance to oncology specialists in Germany while analyzing market data and ensuring company strategy implementation.
Therapy Area Specialist providing therapeutic guidance to oncology specialists in Germany. Engaging with healthcare professionals and managing account strategies in the oncology field.
Therapy Area Specialist managing relationships with onco - specialists at AstraZeneca. Focus on market analysis and strategic implementation in onco - therapy areas in Germany.
Therapy Area Specialist providing therapeutic advice to oncologists in Germany. Analyzing market data and implementing company strategies to meet objectives.
Therapy Area Specialist consulting oncologists for AstraZeneca in onkology. Analyzing market data and implementing strategies for effective healthcare solution delivery.
Grade 3 Advanced Practice Musculoskeletal Physiotherapist role at Western Health in Footscray and Sunshine. Utilizing consolidated skills to deliver musculoskeletal care and assessment for patients.
Physical Therapist providing home health care services with Elara Caring. Ensuring quality care through patient - centered therapy and collaboration with healthcare teams.