Home Health Auditor III

A company is looking for a Home Health Auditor III to ensure proper documentation and accurate billing in a remote capacity. Key Responsibilities Audit Home Health medical records to validate or revise billed services based on CMS guidelines Apply clinical judgment and coding expertise to identify overpayments and ensure proper reimbursement Document audit findings clearly and professionally, utilizing industry-leading tools Required Qualifications LPN or Registered Nurse with an Associate's or Bachelor's degree preferred 3+ years of acute care nursing experience, with preference for candidates holding OASIS or Coding certifications Prior experience in Home Health auditing is essential Deep knowledge of PDGM and PPS payment methodologies

Apr 28, 2025 - 14:44
 0
Home Health Auditor III
A company is looking for a Home Health Auditor III to ensure proper documentation and accurate billing in a remote capacity. Key Responsibilities Audit Home Health medical records to validate or revise billed services based on CMS guidelines Apply clinical judgment and coding expertise to identify overpayments and ensure proper reimbursement Document audit findings clearly and professionally, utilizing industry-leading tools Required Qualifications LPN or Registered Nurse with an Associate's or Bachelor's degree preferred 3+ years of acute care nursing experience, with preference for candidates holding OASIS or Coding certifications Prior experience in Home Health auditing is essential Deep knowledge of PDGM and PPS payment methodologies