The role involves performing clinical documentation reviews for home health and hospice records to ensure accuracy and regulatory compliance. The manager will analyze trends to provide process improvement recommendations and handle appeals for denied services.
Netsmart
5 Remote Job Openings at Netsmart
Lead reviewer training and perform quality assurance audits to ensure adherence to coding and OASIS standards. Serve as a subject matter expert to resolve client and reviewer questions while testing clinical review functionality.
Review OASIS and ICD-10 coding for home health and hospice agencies to ensure documentation accuracy and compliance. Document recommended changes and reimbursement impacts while meeting chart equivalent targets and quality metrics.
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