Compliance Coordinator

At PHS, we help medically complex kids live their best lives�at home, with their families. As a national leader in pediatric home care, we offer a full range of services including infusion, clinical nutrition, respiratory therapy, PPEC, private duty nursing, and DME. Whether you're caring for patients or supporting behind the scenes, every role at PHS makes a difference. Join a mission-driven team that�s committed to putting children and families first. Position: Compliance Coordinator Location: Fully Remote (Must reside in a state where Pediatric Home Service has an office) This position is open to candidates residing in Florida, Illinois, Indiana, Iowa, Kansas, Minnesota, Texas, or Wisconsin. Hours: Monday-Friday, 8a-5p THE POSITION: At Pediatric Home Service, we are a compassionate leader in home health care with a singular passion: taking care of the child. We help children live their best lives at home and in their communities�while giving our employees a supportive, professional, and rewarding place to work. We are currently seeking a Compliance Coordinator to join our growing team. This critical role helps ensure our services meet the highest standards of compliance with government and commercial payer requirements. Audit medical documentation supporting claims billed to government and commercial payers. Review documentation for accuracy, completeness, and alignment with payer guidelines. Analyze payer contracts, fee schedules, databases, and system set-up requirements. Identify audit trends, variances, deficiencies, and potential compliance risks. Prepare clear audit reports and communicate findings to appropriate stakeholders. Conduct follow-up audits to confirm corrective actions have been completed. Assist with development and maintenance of compliance policies, procedures, audit standards, and reports. Serve as a resource for billing, reimbursement, documentation, and coding-related questions. Stay current with Medicare, Medicaid, and commercial payer rules and regulations. Partner with internal teams to resolve billing and documentation concerns. Prepare and deliver training related to supported billing and documentation expectations. Qualifications Bachelor�s degree preferred, or equivalent combination of education, training, and related experience. 1�2 years of experience in healthcare compliance, billing, reimbursement, auditing, documentation review, revenue cycle, DME, home care, or a related healthcare setting preferred. Preferred Qualifications Healthcare compliance or audit experience. DME, home infusion, respiratory, pharmacy, or pediatric healthcare experience. Advanced Excel skills. Experience reviewing documentation for medical necessity and payer compliance. Knowledge of Medicare and Medicaid regulations. Experience preparing audit findings, corrective action summaries, or training materials. Strong understanding of medical documentation, payer requirements, billing support, and compliance standards. Ability to read, interpret, and apply payer guidelines, contracts, fee schedules, policies, procedures, and governmental regulations. Strong analytical skills with the ability to identify patterns, trends, variances, and compliance risks. Excellent attention to detail and ability to manage multiple audits, reports, and follow-up items. Strong written and verbal communication skills, including the ability to present findings clearly to leadership and internal teams. Proficiency with Microsoft Excel; advanced Excel skills strongly preferred. Experience with database maintenance, reporting, or system audits preferred. Knowledge of Medicare, Medicaid, third-party payer reimbursement, coding, and documentation requirements preferred. Ability to work independently, problem-solve, and partner cross-functionally with billing, operations, reimbursement, and compliance teams. THE COMPANY Pediatric Home Service is a pediatric home health agency that has provided high-quality DME and nursing services to medically fr…