[Remote] Experienced ADR & TPE Auditor (Home Health & Hospice) RN Required

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. Hart Healthcare Solutions is an RN-owned and operated home health and hospice consulting firm focused on providing a personal partnership approach. They are seeking an experienced RN auditor to review ADR/TPE requests, evaluate charts, and communicate findings to agency leadership while maintaining compliance standards. Responsibilities β€’ Review ADR/TPE requests, evaluate charts, and identify documentation gaps and risks β€’ Prepare clean, organized packets that address denial reasons and support eligibility β€’ Communicate findings and recommendations clearly to agency leadership β€’ Maintain Medicare-aligned standards while respecting each agency’s workflow β€’ Partner directly with clients to support quality, compliance, and operational integrity Skills β€’ RN with at least 5 years of hospice and/or home health experience β€’ Experience managing and responding to ADRs, TPEs, and denials β€’ Strong chart review and documentation quality skills β€’ Ability to evaluate eligibility, coverage, F2F, terminality support, and documentation gaps β€’ Working knowledge of Medicare/MAC requirements and audit expectations β€’ HIPAA-sensitive work with strict privacy and confidentiality expectations β€’ Password-protected computer and secure home internet required β€’ Contractor provides and maintains their own equipment, software, and workspace β€’ Flexibility for deadlines and possible evening and weekend work (make your own schedule) β€’ Familiarity with Connex, iQIES, Palmetto/NGS β€’ EMR experience with Firenote, HCHB, WellSky, Axxess, Careficient/Optima β€’ Experience assembling appeals or addressing denial reason codes Company Overview β€’ Hospice and post-acute clinical quality, regulatory compliance and operational efficiency consultants. It was founded in 2019, and is headquartered in Tennessee, US, with a workforce of 2-10 employees. Its website is Apply tot his job
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