The Audit Specialist – Home Health position provides audit, consultant support and written reporting necessary to optimize clinical reimbursement, clinical practice, quality assurance and compliance, and reimbursement through consultant directed and proactive chart audits within our Home Health division of consulting. This LPN or RN level position requires specific and deep knowledge of the patient driven groupings model, OASIS starts of care and discharges as well as the impact of these models and processes on quality measures and overall home health payment. This position also requires an intermediate understanding of regulations for submission of various documentation, other regulations, etc. that may impact overall reimbursement and payment.
The position accomplishes all of the above through a respectful, constructive and energetic style, guided by the objectives of the company.
As one of the company’s expert and detailed auditors and clinical reimbursement support, this position functions as a member of the Company’s clinical strategies consulting division, in alignment with our mission and values. Must be an LPN or RN AND with a reimbursement understanding and be willing to travel throughout the US on an as needed based at times. MUST have OASIS and home health operations experience.
Reports to: Senior Vice President of Clinical Strategies + Consulting
Clinical and Compliance Management: