DMT Clinical Records & Audit Support Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $45k - $60k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

👻 Ghost score 1%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Pennant

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2016

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Pennant is a company dedicated to providing healthcare services, with a focus on life-changing service, culture, and leadership. They support independent operating subsidiaries that offer home health care, hospice, assisted living, independent living, and memory care. Their mission is to empower local leaders with resources and tools to deliver high-quality care. Pennant operates 103 home health and hospice agencies and 51 senior living communities across several U. S. states, including Arizona, California, and Texas. They emphasize a strong company culture guided by core values that prioritize customer service, accountability, and intelligent risk-taking.

📋 Description

• Support the Denials Management Team in coordinating and compiling records for Medicaid audits, Part B physician services requests, and assigned reviews • Review audit and documentation request letters to identify requested records, date ranges, claim information, and submission requirements • Locate, collect, organize, and compile clinical, billing, administrative, and supporting documentation from electronic medical records and approved systems • Identify relevant documentation and recognize gaps, inconsistencies, missing signatures, or incomplete records for escalation • Organize records into approved packets through indexing, bookmarking, pagination, file naming, and final quality review • Compare compiled records against requests and internal checklists before routing packets for review • Communicate with agency staff, physician services teams, clinical personnel, and DMT members about outstanding records, questions, and due dates • Maintain audit activity, request status, notes, and supporting documentation in DMT applications, Excel, Smartsheet, and designated folders • Locate and reference Medicare, Medicaid, CMS, payer, and state regulatory guidelines • Protect confidential information and follow HIPAA, company, payer, and regulatory requirements • Participate in cross-training, education, and process improvement efforts

🎯 Requirements

• Current Licensed Practical Nurse (LPN) license preferred; candidates with substantial clinical knowledge or relevant healthcare experience may be considered • Experience in Medicaid Home Health, Hospice, home care, or Part B physician services strongly preferred • Clinical knowledge of common medical record components, plans of care, orders, visit or procedure documentation, and supporting billing documentation • Experience with healthcare audits, medical record requests, additional documentation requests, payer reviews, or record compilation preferred • Ability to research and reference Medicare, Medicaid, CMS, payer, and applicable state regulatory guidelines • Experience navigating electronic medical records and healthcare information systems • Comfort with PDF editing and document-assembly tools • Proficiency with Microsoft Office, including Excel and Outlook • Strong attention to detail and ability to follow exact request language, checklists, naming conventions, and workflows • Ability to organize, prioritize, and manage multiple assignments in a fast-paced environment • Initiative in researching and resolving routine issues and escalating clinical, regulatory, or documentation concerns • Clear written and verbal communication skills • Ability to work independently and as part of a team, adapt to evolving requirements, accept feedback, and maintain confidentiality

🏖️ Benefits

• True Work-Life balance • Full benefits package (medical, dental, vision, 401(k) with match) • Paid time off • Holiday pay • Professional development • Collaborative culture and team support