Senior Compliance Auditor – RN

Elara Capital

Senior Compliance Auditor overseeing billing compliance audits for Elara Caring’s home health, hospice, and behavioral healthcare services. Developing remediation training and corrective action plans.

Posted 8/20/2026full-timeRemote • Ohio, Texas • 🇺🇸 United StatesSenior💰 $80,000 - $90,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare coding and billing compliance, with a strong focus on audit processes, regulatory standards, and quality education. Proven ability to collaborate with clinical and operational teams to enhance compliance initiatives and mitigate risks.

Highest-signal resume keywords

Healthcare Coding/Billing AuditLeadership ExperienceCertified Homecare Coding Specialist (HCS-D)Certified OASIS Specialist-Clinical (COS-C)Regulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Audit ComplianceBilling Compliance TrendsOASIS GuidelinesCMS RegulationsPolicy DevelopmentRemediation TrainingAudit Findings PreparationQuality EducationDocumentation ReviewRisk Management

Soft Skills

CollaborationCommunicationFeedback DeliveryProblem SolvingLeadership

Certifications & Qualifications

Certified Homecare Coding Specialist (HCS-D)Certified OASIS Specialist-Clinical (COS-C)

Industry Keywords

Home HealthHospice CarePalliative CareBehavioral HealthHIPAA ComplianceFederal and State LawsAccreditation StandardsCorporate CompliancePatient PrivacyQuality Assurance

About the role

Key responsibilities & impact

Participate in comprehensive or stratified audits related to skilled home health, hospice, palliative care, personal care services, and behavioral health
Audit billing compliance trends and deliver education to agency leaders
Provide recommendations and positive feedback to the Billing Compliance Audit team
Prepare written audit results for agency leaders after audit findings are finalized
Provide secondary review and oversight of PCS policy development, revisions, and reviews
Assist with compliance and quality education and updates to compliance resource manuals, policies, procedures, and tools
Review audits for accuracy and ensure auditors understand and follow billing rules
Monitor audit deficiencies and develop broad-based remediation training
Collaborate with clinicians, managers, account executives, intake coordinators, directors, and administrative staff on regulatory compliance
Advise clinicians and Clinical Managers on coding, documentation, OASIS guidelines, and CMS questions
Collaborate with the Compliance Department across functional compliance areas
Maintain patient and staff privacy and confidentiality under HIPAA
Maintain knowledge of payment regulations, federal and state laws, and accreditation standards
Escalate serious compliance, billing, and business risks to compliance and functional leadership
Help ensure audit programs emphasize prevention, timely reporting, and remediation
Partner with operational leaders on compliance initiatives and risk-based action plans
Attend audit findings calls and assist with corrective action plans and timely implementation

Requirements

What you’ll need

Associate or Bachelor of Science in Nursing
Minimum of five (5) years’ experience in Corporate Compliance healthcare coding/billing audit
Minimum of two (2) years of demonstrated leadership ability
Certified Homecare Coding Specialist (HCS-D), Certified OASIS Specialist-Clinical (COS-C), or willingness to obtain within one (1) year
Registered Nurse with home health and hospice coding experience
Meets all applicable agency policies and procedures related to health screening and required testing
Minimal travel required

Benefits

Comp & perks

Competitive compensation package
Tuition reimbursement for full-time staff
Continuing education opportunities for all employees at no cost
Opportunities for advancement
Comprehensive medical, dental, and vision insurance plans
401(K) with employer match
Paid time off
Paid holidays
Family bereavement leave
Pet bereavement leave
Pet insurance