Quality and Compliance Coordinator

Job DescriptionJob Description

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 .

· 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.