Compliance Manager - Home Health Agency in Chantilly, Virginia at Five Star Home Health Care

Lead compliance. Protect quality. Keep our organization survey-ready.

• Lead and maintain the agency's compliance program, ensuring alignment with federal regulations, Virginia home health requirements, CMS guidelines, and Joint Commission standards.
• Serve as the organization's designated compliance point of contact, promoting accountability and ethical practices across all departments.
• Develop and maintain annual compliance monitoring, auditing, and risk assessment plans.
• Oversee regulatory readiness, including mock surveys, tracer activities, staff preparation, and documentation for Joint Commission and Virginia Department of Health visits.
• Conduct routine audits of clinical documentation, OASIS accuracy, plans of care, billing, coding, and PDGM compliance.
• Monitor HHVBP and quality measures alongside the QAPI program, identifying documentation trends and opportunities for improvement.
• Coordinate responses to survey findings, including plans of correction and supporting evidence of compliance.
• Monitor regulatory changes and communicate necessary updates and recommendations to organizational leadership.
• Maintain the agency's Code of Conduct and confidential compliance hotline, ensuring a culture of accountability and non-retaliation.
• Partner with Clinical Managers, the COO, CCO, and CEO to develop and deliver compliance training for new hires and existing employees.

• Strong knowledge of healthcare compliance, regulatory requirements, and quality assurance practices.
• Understanding of CMS Conditions of Participation, Virginia home health regulations, and Joint Commission standards.
• Experience with clinical documentation auditing, billing compliance, and healthcare regulatory readiness.
• Strong analytical and organizational skills, with the ability to identify compliance risks and recommend corrective actions.
• Excellent communication skills and the ability to collaborate with clinical, operational, billing, and leadership teams.
• A proactive, detail-oriented professional who can independently manage compliance initiatives and drive accountability throughout an organization.

• Leadership Impact: Take ownership of the organization's compliance program and help shape a culture of quality and accountability.
• Cross-Functional Collaboration: Work directly with executive leadership and department heads across the organization.
• Meaningful Work: Play a critical role in protecting patients, supporting employees, and maintaining the highest standards of care.
• Growth Opportunity: Help strengthen and develop compliance processes as our organization continues to grow.

Join Five Star Home Health Care and help us deliver quality care through excellence, accountability, and compliance.