Perform daily audits on client data for completeness and accuracy of coding using clinical knowledge.
Respond to provider appeals and meet client turnaround time and KPI goals.
Utilize coding validation training to become familiar with claims payment policies and regulations.
Cotiviti is a healthcare analytics company that uses data-driven solutions to improve payment accuracy and quality in healthcare. The company offers a competitive benefits package and fosters a collaborative, fast-paced work environment.
Analyze clinical and operational data to identify trends and drive quality improvements.
Develop and monitor corrective action plans and quality initiatives.
Collaborate with leadership to ensure compliance and enhance care delivery outcomes.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic healthcare facilities. We leverage our global network to connect clients with qualified professionals, offering tailored services to meet unique business needs.
Review patient records and healthcare documentation to ensure compliance with regulatory standards.
Evaluate accuracy and completeness of clinical documentation, including OASIS guidelines and coding.
Collaborate with interdisciplinary teams to enhance patient outcomes through quality improvement initiatives.
Jobgether is a job platform that uses AI-powered matching to connect candidates with hiring companies. They partner with various employers to manage recruitment processes.
Serve as the main point of contact for patients and families transitioning from or seeking post-acute services.
Make clinical level-of-care determinations using discussions, medical records, and other clinical data.
Provide patient education on home health, hospice, palliative care, Medicare coverage, and billing.
Gentiva is a national leader in hospice, palliative, and home health care, providing compassionate care to patients in their homes. With nearly 600 locations and thousands of clinicians across 38 states, they offer a collaborative environment where inspiring achievements are recognized.
Provides onsite and remote clinical documentation integrity support to CDI programs as part of the System Office CDI Float Pool.
Reviews and audits medical records to ensure accurate documentation of medical necessity, severity of illness, and level of services.
Trains end users on CDI software systems and communicates with healthcare teams to improve documentation practices.
Trinity Health is a large not-for-profit, faith-based health care system with 121,000 colleagues and nearly 36,500 physicians and clinicians serving communities across 27 states. The system includes 101 hospitals and invests heavily in community benefit programs.
Serve as a resource for federal, state, and local hospice regulations, providing training and education to branch staff.
Perform clinical audits, site visits, and assess operational structures to recommend efficient solutions.
Support integration of new employees and branches, and develop operational workflows to improve clinical service delivery.
Enhabit Home Health & Hospice provides home health and hospice services across multiple states. The company has a large branch network and emphasizes a collaborative, supportive work culture with opportunities for growth.