The Audits & Quality Improvement (QI) Coordinator I of review choice demonstration (RCD) is responsible for the end of episode billing and reimbursement functions. This position works closely with the audits and QI team and other back office staff to ensure billing submissions are completed timely and accurately in order to keep the unbilled percentage below 10% of total revenue.
The Audits & QI Coordinator role is a Home Office/Corporate position that will allow you to work remotely from home; you will need to be located within driving distance of a branch. The role involves performing end of episode claim audits for Medicare patients, quality face-to-face reviews for new admissions, and quality assurance audits. It also includes following up on open billing issues, updating incorrect OASIS for key field corrections, and assisting branch employees with outstanding claims.