Alternate Solutions Health Network · 1 day ago
Hospice Quality Auditor
Ohio, United States
Full-time
Onsite
Mid Level
3+ years expAlternate Solutions Health Network is dedicated to the growth and development of its team, providing high-quality hospice care. The Hospice Quality Auditor conducts detailed chart audits to ensure compliance with Medicare regulations and collaborates with leadership to enhance documentation practices.
Health CareHospital
Responsibilities
Conduct comprehensive chart audits to ensure compliance with the Medicare Hospice Conditions of Participation and internal documentation requirements
Evaluate clinical documentation for accuracy, completeness, timeliness, and alignment with the patient plan of care
Review Hospice HOPE assessments for completeness, accuracy, internal consistency, and alignment with the clinical record
Validate appropriate documentation related to eligibility, certifications and recertifications, levels of care, transitions, revocations, and interdisciplinary group requirements
Identify documentation gaps and trends that require corrective action
Monitor documentation quality using HOPE data, Hospice Quality Reporting Program (HQRP) requirements, and internal audit tools
Prepare summary reports detailing audit outcomes, trends, and opportunities for quality improvement
Analyze documentation to identify patterns affecting regulatory compliance or care delivery quality
Collaborate with agency leadership to develop and execute corrective action plans
Provide targeted support and clarification to Clinical Managers and interdisciplinary teams on documentation expectations and quality requirements
Recommend workflow and documentation improvements based on audit findings
Maintain an up-to-date understanding of Medicare hospice regulations, eligibility standards, documentation requirements, and the Hospice Quality Reporting Program (HQRP), including HOPE specifications
Conduct pre-survey documentation readiness checks and participate in internal mock audits
Provide recommendations to support ongoing regulatory compliance and readiness across all agencies
Partner with corporate Quality, Compliance, Clinical Education, Operations, and EMR optimization teams to strengthen documentation integrity and workflow practices
Serve as a resource for agency Clinical Managers regarding documentation standards and regulatory interpretation
Prepare routine audit reports for agency and corporate leadership
Communicate findings clearly, constructively, and in a manner that supports improvement
Track trends across agencies and escalate systemic concerns to Quality Leadership
Maintain confidentiality and adhere to HIPAA standards
Participate in meetings, training sessions, and internal quality initiatives
Perform additional duties as assigned
Qualification
Required
Minimum three years of clinical experience in hospice
Strong understanding of hospice documentation requirements, CMS regulations, and the Conditions of Participation
Experience conducting chart audits or participating in quality or compliance initiatives
Working knowledge of the Hospice HOPE tool, including required admission and discharge data elements
Strong analytical skills with attention to detail and accuracy
Proficiency with EMR systems such as Homecare Homebase and with Microsoft Office applications
Effective verbal and written communication skills
Ability to travel up to 25 percent
Current clinical license such as RN, LPN, or Social Worker
Preferred
Experience in corporate hospice quality, compliance, or audit functions
Familiarity with interdisciplinary documentation standards, quality improvement frameworks, or root cause analysis
Hospice certification preferred but not required
Company
Alternate Solutions Health Network
Alternate Solutions Health Network provides health care services.
1001-5000 employees
H1B Sponsorship
Alternate Solutions Health Network has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2023 (2)
2022 (1)
Funding
Current Stage
Late StageTotal Funding
unknown2017-09-29Private Equity
Leadership Team
Michael Craig
Vice President, Partnership and Community
Brian Dieperink
Strategic Partnership Executive
Recent News
2025-09-22
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