Pennant
Life Changing Service
Due Diligence Clinical Review Specialist
Location
United States
Posted
24 days ago
Salary
Not specified
Bachelor Degree5 yrs expEnglish
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
Job 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
