About the job
Position Summary
The Quality & Compliance Coordinator supports the Quality Assurance and Performance Improvement program by assisting with data collection, report preparation, compliance training, regulatory readiness, and internal audits. This role plays a key part in ensuring the organization meets hospice regulatory standards and fosters a culture of continuous improvement.
Primary Responsibilities
Quality & Compliance Support
- Assist in the development and maintenance of QAPI plan and initiatives.
- Support compliance with federal, state, and accreditation standards (e.g., CHAPS, Joint Commission).
- Help prepare for surveys and audits by maintaining organized documentation and records.
- Assist with the management of policies and procedures.
Data & Reporting
- Pull and compile data from various systems for quality metrics and performance dashboards.
- Assist in analyzing trends and identifying areas for improvement.
- Prepare and format reports for internal and external stakeholders.
Training & Education
- Help develop and deliver compliance training materials for staff.
- Assist with creating PowerPoint presentations and e-learning modules.
- Track training completion and maintain training records.
Auditing & Monitoring
- Assist in conducting internal audits of clinical documentation for accuracy, completeness, and compliance with Medicare Conditions of Participation and state regulations. (e.g., chart reviews, documentation checks) under supervision.
- Monitor the timely completion of required documentation (e.g., care plans, visit notes)
- Assist in follow-up and tracking of corrective action plans.
- Maintain confidentiality and security of patient records and audit findings.
Administrative & Project Support
- Assist with scheduling and coordination of quality initiatives, minutes, and follow up on action items.
- Maintain organized files and databases related to quality and compliance.
- Support special projects and initiatives as assigned.
Knowledge And Skills Requirements
- Strong attention to detail and organizational skills.
- Proficiency in Microsoft Office Suite (especially PowerPoint, Excel, and Word).
- Familiarity with healthcare regulations and standards.
- Excellent written and verbal communication skills.
- Ability to handle sensitive information with discretion.
- Able to work independently and multitask.
Experience And Educational Requirements
- Associate’s or Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field preferred.
- 2-3 years of experience in a healthcare or hospice setting, preferably in quality, compliance, or training.
Working Conditions
- Primarily working from home with occasional onsite work visits.
- May require occasional travel to hospice sites or partner facilities.
Equipment Used
- Operates phone system, computer (Word, Excel, Microsoft Outlook, Electronic Medical Records and related databases), calculator, copier and facsimile machines
Hours
- Generally, Monday through Friday, 8am-4:30pm. Hours will vary based on schedule needs. However, position may require after hour work including weekends and holidays, as needed.