Clinical & Quality Operations Regulatory Coordinator at Home Healthcare, Hospice & Community Services

Keene, New Hampshire, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Aug, 26

Salary

0.0

Posted On

21 May, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Regulatory Compliance, Quality Assurance, Performance Improvement, Chart Audits, Policy Development, Corrective Action, Data Analysis, Documentation Standards, Communication Skills, Analytical Skills, Audit Skills, Denials Management, Appeals Management, Staff Education, Workflow Improvement, Clinical Documentation

Industry

Home Health Care Services

Description

Description Clinical & Quality Operations Regulatory Coordinator The Clinical & Quality Operations Regulatory Coordinator supports regulatory compliance, survey readiness, quality assurance, and performance improvement activities across home health, hospice, and community-based services. This role ensures compliance with CMS Conditions of Participation, NH state regulations, and accreditation standards while supporting chart audits, appeals management, policy development, and corrective action initiatives. Key Responsibilities: Coordinate survey readiness activities for CMS, NH DHHS, specialty programs, and accrediting organizations Conduct clinical record audits to ensure documentation quality, compliance, and plan-of-care adherence Manage ADRs, claim denials, and appeals, including tracking outcomes and identifying root causes Develop, review, and maintain clinical policies and procedures aligned with regulatory requirements and best practices Support QAPI initiatives through quality data analysis, reporting, and performance improvement projects Provide staff education related to documentation standards, regulatory updates, and survey readiness Collaborate with clinical, billing, compliance, and leadership teams to improve workflows, maintain compliance, and support quality outcomes This position serves as a key resource for regulatory interpretation, clinical quality improvement, and operational best practices across the organization. Experience Minimum 5-7 years in: Home health, hospice, or community-based care Demonstrated experience with: State or CMS survey process Formal fiscal auditing/response (CERT, TPE, OIG) Clinical documentation review/auditing Requirements Required Competencies Strong knowledge of: CMS Conditions of Participation (Home Health & Hospice) New Hampshire licensing requirements Experience in: Chart audits and quality review Policy writing and compliance Denials and appeals management Skills & Abilities Analytical and detail-oriented Strong documentation and audit skills Ability to interpret and apply regulations Excellent communication and staff education skills Ability to manage multiple priorities and deadlines High level of discretion and professionalism

Responsibilities

The Clinical & Quality Operations Regulatory Coordinator supports regulatory compliance and quality assurance activities across home health, hospice, and community-based services. Key responsibilities include coordinating survey readiness, conducting clinical record audits, managing claims denials, and developing clinical policies.