Due Diligence Clinical Review Specialist
Job Description:
• Conduct comprehensive clinical documentation and compliance reviews
• Evaluate clinical, regulatory, and operational compliance risks during home health and hospice acquisitions
• Identify risks affecting reimbursement, compliance, and clinical outcomes
• Review and analyze records across multiple EMRs including Homecare Homebase
• Generate trending reports and inform leadership decisions
• Collaborate with leadership and agency partners to recommend corrective actions
• Develop and deliver education and training to agencies
• Track common deficiencies and escalate systemic issues to leadership
Requirements:
• Minimum 5 years of experience in Home Health and/or Hospice
• Strong knowledge of CMS Conditions of Payment and Conditions of Participation
• Prior experience with due diligence, compliance, or audit review processes highly preferred
• Proficiency in multiple EMRs, including required experience with HCHB
• Strong ability to interpret and apply data analytics
• High attention to detail with ability to identify patterns, trends, and systemic risks
• Proficient in Microsoft Office Suite (Excel, Word, PowerPoint, Smartsheet)
Benefits:
• Comprehensive benefits package including medical, dental, and vision plans
• Retirement savings opportunities through a 401(k), company match
• Professional growth and development support
• Free e-courses and training sessions
• Recognition through Moments of Truth Program
Apply Now
Apply Now
• Conduct comprehensive clinical documentation and compliance reviews
• Evaluate clinical, regulatory, and operational compliance risks during home health and hospice acquisitions
• Identify risks affecting reimbursement, compliance, and clinical outcomes
• Review and analyze records across multiple EMRs including Homecare Homebase
• Generate trending reports and inform leadership decisions
• Collaborate with leadership and agency partners to recommend corrective actions
• Develop and deliver education and training to agencies
• Track common deficiencies and escalate systemic issues to leadership
Requirements:
• Minimum 5 years of experience in Home Health and/or Hospice
• Strong knowledge of CMS Conditions of Payment and Conditions of Participation
• Prior experience with due diligence, compliance, or audit review processes highly preferred
• Proficiency in multiple EMRs, including required experience with HCHB
• Strong ability to interpret and apply data analytics
• High attention to detail with ability to identify patterns, trends, and systemic risks
• Proficient in Microsoft Office Suite (Excel, Word, PowerPoint, Smartsheet)
Benefits:
• Comprehensive benefits package including medical, dental, and vision plans
• Retirement savings opportunities through a 401(k), company match
• Professional growth and development support
• Free e-courses and training sessions
• Recognition through Moments of Truth Program
Apply Now
Apply Now