Clinical Quality Auditor
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Job Description
Clinical Quality Auditor at Elara Caring performing audits for compliance in home health, hospice, and behavioral health. Focus on regulatory standards and documentation accuracy in a supportive team environment.
Responsibilities:
- Perform comprehensive audits within the skilled home health, hospice, and behavioral health agencies at Elara Caring
- Ensure compliance with Medicare and Medicaid regulations
- Focus areas include ICD-10 coding, OASIS, Value Based Purchasing, Care Compare, and clinical documentation
- Support a team of elite healthcare professionals operationally
- Report to the Director of Quality Audit and Education
Requirements:
- Associate degree in Nursing is required
- 3 years of experience as a Registered Nurse in home health and/or hospice
- Current state license as a Registered Nurse
- Certified Homecare Coding Speicalist (HCS-D), or willing to obtain within 6 months
- Certified OASIS Specialist-Clinical (COS-C), or willing to obtain within 6 months
- Good communication skills both written and verbal
- Proven organizational development and project management skills
- Exhibits working knowledge of regulations and reimbursement in home health, hospice, and behavioral health
- Ability to maintain the confidentiality of sensitive financial, clinical, and operational information
Benefits:
- Competitive compensation package
- Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost
- Opportunities for advancement
- Comprehensive insurance plans for medical, dental, and vision benefits
- 401(K) with employer match
- Paid time off, paid holidays, family, and pet bereavement
- Pet insurance
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