Regulatory Coordinator

Location: Cary, North Carolina

ACHC is currently recruiting a research-oriented individual with strong attention to detail to join our Regulatory team as a Regulatory Coordinator. This person will compile and submit required regulatory reports, ensuring that ACHC meets all requirements. Additionally, this Coordinator reviews and approves branch and services additions for all programs and provides assistance to our Account Advisors and their customers. As a regulatory expert, you will maintain state and licensure criteria while creating and updating tools for surveyors, providers, and ACHC Staff. The ideal candidate has prior Regulatory/Governmental experience and will possess exceptional organizational skills.

RESPONSIBILITIES:

• Completes, submits and ensures accuracy of all reports submitted to the Centers for Medicare and Medicaid Services (CMS) for all programs.
• Home Health & Hospice ASSURE reports
• Home Health & Hospice scheduling report
• DMEPOS reports
• DMEPOS Annual Performance Report
• Remains knowledgeable of CMS regulatory parameters to ensure ACHC is meeting all reporting requirements.
• Collaborates with IT ensuring databases meet CMS requirements
• Ensures database information is accurate
• Creates and distributes internal reports as requested.
• Updates Surveyor Central with regulatory changes.
• Updates State Licensure Grid.
• Creates educational materials for surveyors, providers and staff.
• Analyzes data to determine quality initiatives and process improvements.
• Tracks proposed legislation at state and federal level that may affect providers accredited by ACHC; works with other ACHC staff to determine appropriate response to new legislation.
• Maintains and updates ACHC State Licensure Grid on Surveyor Central, ensuring completeness and accuracy at all times.
• Maintains an up-to-date list for state and third party payor contacts.
• Creates educational regulatory materials for surveyors, providers and staff.
• Processes Branch Additions, Changes of Ownership, and Service Additions for all programs within the established timeframe.
• Complies with ACHC’s Quality Management System (QMS), established policies and procedures, and achievement of the quality objectives (Balanced Score Card). May participate in ACHC QMS internal audit activities.

REQUIREMENTS:

• Education and Training:
• Bachelor’s Degree in a healthcare related field preferred; will consider a combination of education and 3 to 5 years work experience in Accreditation and/or Regulatory Affairs.
• Training/work experience in Quality monitoring, Accreditation and/or Regulatory compliance.
• Skills and Experience:
• Minimum of 3 years of experience in the home care setting in a clinical, quality improvement, medical billing, or regulatory compliance capacity.
• Working knowledge of Medicare/Medicaid regulations.
• Knowledge of DMEPOS/Pharmacy/Home Health/Hospice Accreditation a big plus.
• Excellent writing and proofing skills a must.
• Computer literacy with proficiency in Excel, the use of databases, and other office system programs.

This position is office-based in Cary, NC with hybrid remote-working privileges. Compensation includes base salary + bonus.

In order to be considered, please send your resume along with your desired compensation.

At ACHC we aim to hire only the best. As a non-for-profit company with a rapidly growing base of influence within our markets, our philosophy is rooted in innovation, best-in-class customer service, integrity, and, quite simply, excellence. Our visionary market sensibility coupled with a workplace that has been recognized both nationally and locally as a Best Places to Work award recipient, ACHC provides a competitive salary along with a comprehensive benefits package featuring 100% paid Medical, Dental, and Vision benefits for individuals. If you consider yourself a goal-oriented leader who would like to be part of a fun-loving, committed team of professionals who each play a vital role in providing our customers with the industry’s best customer service experience, we would love to have you join us.

Accreditation Commission for Health Care is an Equal Opportunity Employer.