POSITION: Compliance & Quality Team Assistant

REPORTS TO: Director of Clinical Operations, Compliance, & Quality

LOCATION: Sheboygan Falls, WI

POSITION SUMMARY

The Compliance & Quality Team Assistant supports operations, compliance, and quality initiatives through audits, reporting, documentation, survey readiness, CMS/HOPE submissions, and administrative coordination. This role helps ensure accurate records, timely follow-up, operational efficiency, and confidential support to clinical leaders and team members.

ESSENTIAL DUTIES

Conducts routine audits focusing on clinical documentation and compliance, ensuring attention to detail and completion within established deadlines.
Monitors and documents follow up actions related to each audit and audit type.
Prepares reports and documentation utilizing Word, Excel, and/or PowerPoint, as directed.
Execute scheduled HOPE reviews and uploads data to CMS iQIES, promptly notifying the supervisor of any discrepancies or delays.
Provides support to clinical leaders as needed.
Assists the Director of Clinical Operations, Quality, and Compliance with incident reporting documentation and analysis.
Delivers analytical and administrative assistance.
Coordinates and delegates tasks to ensure adequate inventory of forms is maintained.
Participates in policy and procedure review in conjunction with managers and directors.
Updates and disseminate census and caseload tracking information as required.
Offers administrative assistance to the Interdisciplinary Team (IDT), including maintaining meeting logs and preparing meeting reports.
Processes medical record requests efficiently, accurately, and in accordance with the law.
Supports intake/admissions manager with clerical and administrative intake processes and tasks.
Assists the Director of Clinical Operations, Compliance and Quality in uploading monthly quality data to survey vendors.

Supports HOPE quality assessment preparation and helps develop and review policies and procedures.
Reviews operational efficiencies to look for improvements.

Reviews audit request correspondence and communicate relevant information to the Director of Clinical Operations, Quality, and Compliance.

Maintains documentation of all quality activities and reports in accordance with organizational policy; prepares quality reports for Board presentations.
Manages calendar scheduling for joint visits.
Provides coverage and assistance during team assistant absences.
Actively participates in SSRCH-provided educational sessions and employee meetings.
Plays a key role in survey readiness and preparation
Coordinates and completes annual testing requirements for clinical staff (N95 Fit Testing)

WORKING CONDITIONS

Physical Requirements: Frequent ambulation; bending, lifting, twisting, pushing, and pulling. Climb up and down stairs; able to sit for extended periods of time; manual dexterity to operate computer and other office equipment.
Mental Requirements: Read, speak, write, and understand English; cognitive ability to add, subtract, multiply, divide and ability to work independently with indirect supervision.
Working/Environmental Conditions: Fast-paced changing environment, with multiple directives from several disciplines.
Machines, Equipment, Tools Used: Telephone, Computer, Printer, Fax, Scanner, Laminator, Automobile
Exposures: Reasonably anticipated exposure to hazardous equipment, assorted chemicals, gases/vapors and other pollutants as in a normal office environment. Possible exposure to patient pets.

PROFESSIONAL QUALIFICATIONS

High school diploma or equivalent required; associate degree in healthcare administration, business administration, or related field preferred.
Minimum of 3–5 years of related administrative, healthcare, compliance, quality, or clinical office experience preferred.
Prior hospice, home health, long-term care, or healthcare experience preferred.
Knowledge of medical terminology, hospice philosophy of care, and clinical documentation standards preferred.
Proficiency in Microsoft Word, Excel, PowerPoint, Outlook, and electronic documentation systems required.
Strong attention to detail with the ability to complete audits, reports, tracking logs, and follow-up tasks accurately and timely.
Ability to maintain confidentiality and handle sensitive patient, employee, and organizational information with professionalism.
Strong organizational skills with the ability to prioritize multiple tasks, meet deadlines, and adapt in a fast-paced environment.
Excellent verbal, written, and interpersonal communication skills.
Ability to work independently with indirect supervision and collaborate effectively with clinical leaders, interdisciplinary team members, and administrative staff.
Critical thinking and problem-solving skills, including the ability to identify process improvement opportunities.
Ability to operate standard office equipment and learn job-specific technology platforms, including CMS/iQIES and quality reporting systems.

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