Regulatory Covg & Comp Specialist

Regulatory Covg & Comp Specialist ApplyRefer a FriendBack Job Details Requisition #: 214498 Location: Atlanta, GA 30339 Category: Compliance Salary: Starting at $100,000.00 per year Position Details Join a Company That Puts People Firstu2014and Wins Awards Doing It At Aveanna, weu2019re proud to create a workplace where you feel valued, supported, and inspired. Hereu2019s what sets us apart: Award-Winning Workplace + Recognized for Best Leadership, Best Diversity, Best Company for Women, Best Career Growth, Work-Life Balance, Happiness, and Top-Rated Outlook in 2025. + Proud partner of the Military Spouse Employment Partnership. Connection & Support + Employee Connection Groups: Spaces to share experiences and build community. + Social Circles: Connect over shared interestsu2014books, music, movies, and more. + At Aveanna, your well-being matters. Thatu2019s why on Wellness Wednesday's, we give you tools to recharge, reset and refocus. Inclusive Growth + Open learning sessions for all employeesu2014because we grow stronger together. Aveanna Cares u2013 Service with Heart + Every year, we pause for our Month of Service, giving you the chance to volunteer in your local communityu2014on the clock and with your team. Itu2019s a powerful way to give back, connect, and live our values beyond the workplace. Real Help When You Need It Most + Through the Aveanna Employee Relief Fund, we stand by each other during lifeu2019s toughest momentsu2014offering financial assistance to teammates facing unexpected hardships. Because here, care goes beyond the job description. Position Overview The Regulatory Compliance and Coverage Specialist will report to the AVP of Compliance. The Regulatory Compliance and Coverage Specialist will complete detailed compliance reviews of all Aveanna locations. This role must be knowledgeable of Aveanna policies and procedures as well as Federal, State and Local regulations governing healthcare. The Regulatory Compliance and Coverage Specialist will monitor, analyze, and assess risk in all lines of business using standardized tools and available reporting metrics. This role will facilitate collaboration between the compliance department and all other clinical and operational departments within Aveanna Healthcare. Requirements Essential Job Functions + Performs remote and onsite reviews in all lines of business within the Aveanna family of companies to identify risk and best practices involved in maintaining overall compliance. + Utilizes standardized evaluation methods and tools approved the Aveanna Compliance Department to ensure quality and establish trust and integrity in the Aveanna Internal Review process. + Delivers timely reporting of internal reviews. Monitors for quality and consistency of findings between internal reviewers across all regions. + Provides education and feedback to locations related to identified risks and trends, including OASIS, HOPE, and ICD Coding requirements + Provides guidance, training, and ongoing support to all Aveanna locations. + Collaborates with other members of Aveanna Compliance Department to maintain reliability of the Aveanna Internal Review. + Pursues knowledge of current rules and regulations that impact all lines of business. + Provides support and coaching during the corrective action plan process to validate progress to goals. + Maintains a collaborative relationship with other Aveanna leaders to become knowledgeable of new initiatives and programs. + Provides education to Aveanna leadership regarding Aveanna Compliance initiatives and processes. + Provides risk assessments and education to leaders related to Federal, State, and local regulations. + Contributes to the Aveanna Compliance Department by presenting accurate and timely reporting of risks and making recommendations for improvements to policies and procedures to enhance compliance. Requirements + Must hold a current valid license as a Registered Nurse, Physical Therapist, or Occupational Therapist (or equivalent plus a minimum of 2 years clinical experience) + Thorough knowledge of the home care industry, Medicare and Medicaid coverage requirements, clinical and operations practices, and a broad understanding of the Federal, State, and local regulatory requirements. + Must be knowledgeable in ICD Coding, OASIS (Home Health) and HOPE (Hospice), certifications preferred Preferences + Minimum of 2 years managerial experience + Minimum of 2 years experience in healthcare compliance related activities (clinical record review, quality assurance, performance improvement, auditing, or utilization review) As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California ( Notice for Job Applicants Residing in Florida Apply

Created: 2026-04-16