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Home Health Auditor III

AuditorAuditorFull TimeRemoteTeam 10,001+H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

32 days ago

Salary

$70K - $80K / year

Associate Degree3 yrs expEnglish

Job Description

• 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 with clarity, professionalism, and precision using OASIS, ICD-10 CM, and CMS Home Health guidelines • Utilize industry-leading tools like Decision Health, Webstrat, and proprietary EXL platforms to complete your work efficiently • Identify audit trends and help drive improvements that benefit both providers and patients • Stay current on the latest clinical and reimbursement guidelines and deliver work that meets or exceeds productivity and quality benchmarks

Job Requirements

  • LPN or Registered Nurse (Associate’s or Bachelor’s degree preferred)
  • 3+ years of acute care nursing experience, with strong consideration for candidates holding OASIS or Coding certifications
  • Prior experience in Home Health auditing is essential
  • Deep knowledge of PDGM and PPS payment methodologies
  • Proficiency in auditing and coding tools (Decision Health, ICD-10, Webstrat)
  • Strong command of Microsoft Office, including Excel, Word, and OneNote
  • Exceptional time management, attention to detail, and independent work ethic
  • Clear and confident communicator – both in writing and verbally
  • Passion for improving healthcare through teamwork, collaboration, and continuous learning

Benefits

  • Competitive benefits package, including healthcare, vision, dental, and 401(k) options
  • A strong culture of collaboration, support, and inclusivity
  • Mentorship and career development programs to help you grow professionally
  • Hands-on experience with top-tier clients in the healthcare industry
  • A fast-paced, innovative environment with a team of industry-leading experts

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