Hospice Clinical Compliance & Audit Associate Director

About UsEnnoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care’s clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust.

We seek individuals who are driven to make a difference and embody our motto, “To Care is an Honor.” Join Ennoble Care today!Position Summary:The Hospice Clinical Compliance & Audit Associate Director is responsible for oversight of hospice intake compliance and execution of comprehensive clinical audit activities across the organization. This role ensures documentation accuracy, regulatory compliance, and claim readiness through structured pre-bill reviews, targeted audits, and collaboration with clinical and operational teams. The position strengthens audit readiness, reduces financial risk, and supports revenue cycle efficiency while improving clinical documentation practices.Clinical Audit & Pre-Bill ReviewConduct pre-bill clinical chart audits to ensure compliance with Medicare hospice regulationsValidate documentation supporting terminal prognosis, eligibility, and level of careReview face-to-face encounters, certifications, and recertificationsIdentify and escalate compliance risks prior to claim submissionHospice Intake OversightProvide ongoing education and guidance to Intake teams on eligibility and documentation standardsEnsure eligibility criteria are clearly supported and documentedPartner with intake teams to resolve documentation gaps in real timeExternal Audit SupportPerform focused pre-bill audits in preparation for and response to external auditsMonitor findings and identify trends requiring corrective actionSupport preparation, response, and coordination for external audits (including TPE-related activity)Specialized Review AreasLong Length of Stay (LLOS) reviewsGeneral Inpatient (GIP) level of care reviewContinuous Care and Respite documentation validationRecertification technical and clinical reviewsCompliance Monitoring & ReportingTrack audit outcomes and identify trendsMaintain audit tools and reporting mechanismsCommunicate findings to leadershipEducation & Performance ImprovementTranslate audit findings into actionable feedbackAssist in development of education materialsPartner with clinical leadership to improve documentationCollaborationWork closely with Compliance, Clinical, Revenue Cycle, and Intake teamsSupport audit readinessPromote a culture of compliance

Qualifications

RN requiredBachelor’s degree preferred5+ years hospice experience3+ years compliance/audit experiencePay: $80,000 per year#blueFull-time employees qualify for the following

Benefits

:Medical, Dental, Vision and supplementary

Benefits

such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.

Paid Time Off

Paid Office Holidays All employees qualify for these

Benefits

:Paid Sick Time401(k) with up to 3% company matchReferral ProgramPayactiv: pay-on-demand. Cash out earned money when and where you need it!Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended.Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status. Originally posted on Himalayas