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Clinical Quality Auditor

Job not on LinkedIn

🔥 16 hours ago

🤠 Texas – Remote

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đź’µ $80k - $85k / year

⏰ Full Time

🟡 Mid-level

đźź  Senior

🔎 Auditor

đź‘» Ghost score 20%

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Logo of Elara Capital

Elara Capital

51 - 200 employees

Founded 2002

đź’Ľ Consulting

📦 Logistics

📣 Marketing

Consulting • Logistics • Marketing

Elara Capital is a leading global investment and advisory firm, dedicated to providing innovative solutions and expert guidance in the fields of investment banking, securities, and asset management. Founded with a vision to revolutionize the offshore market, Elara Capital has built a reputation for trust and reliability while striving to empower clients in their financial journeys. With a commitment to excellence and a focus on creating a comprehensive financial ecosystem, Elara Capital has raised significant funds for Indian corporates and offers a range of financial services including loans, equity research, and asset management.

đź“‹ Description

• Perform comprehensive audits within skilled home health, hospice, and behavioral health agencies • Ensure compliance with Medicare and Medicaid regulations • Audit ICD-10 coding, OASIS, Value Based Purchasing (VBP), Care Compare, and clinical documentation • Support quality outcomes and keep healthcare teams operational • Report to the Manager of Quality Assurance

🎯 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 Specialist (HCS-D or HCS-H), or willing to obtain within 6 months • Certified OASIS Specialist-Clinical (COS-C), or willing to obtain within 6 months, as applicable • Certified HOPE Specialist-Clinical (CHS-C), or willing to obtain within 6 months, as applicable • Good communication skills both written and verbal • Proven organizational development and project management skills • Working knowledge of regulations and reimbursement in home health, hospice, and behavioral health • Ability to maintain confidentiality of sensitive financial, clinical, and operational information

🏖️ Benefits

• Competitive compensation package • Tuition reimbursement for full-time staff • Continuing education opportunities for all employees at no cost • Opportunities for advancement • Comprehensive medical, dental, and vision insurance plans • 401(K) with employer match • Paid time off • Paid holidays • Family and pet bereavement leave • Pet insurance

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