- Lead, manage, and hold accountable the team of GUIDE Program Coordinators
- Monitor and operationalize new and updated CMS GUIDE rules and guidance into clear workflows, policies, and training
- Maintain and administer the CMS GUIDE portal, ensuring accurate, timely beneficiary alignment and reporting
- Track and report on GUIDE alignment, performance metrics, and quality measures
- Collaborate with Revenue Cycle Management (RCM) to align documentation, coding, and billing with GUIDE payment requirements
- Audit charts for GUIDE compliance, focusing on timelines and documentation completeness
- Oversee care plan development to ensure they are person- and caregiver-centered
- Identify compliance risks and lead corrective action in partnership with leadership
ComplianceEHR