Clinical Quality Auditor jobs in United States
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Elara Caring · 6 days ago

Clinical Quality Auditor

Elara Caring is a home care provider dedicated to delivering high-quality care to patients in their preferred home setting. The Clinical Quality Auditor will perform comprehensive audits to ensure compliance with Medicare and Medicaid regulations, focusing on areas such as ICD-10 coding and clinical documentation.

Health CareHome Health CarePersonal Health
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H1B Sponsor Likelynote

Responsibilities

Perform comprehensive audits within the skilled home health, hospice, and behavioral health agencies to ensure compliance with Medicare and Medicaid regulations
Ensure quality outcomes including, but not limited to, ICD-10 coding, Outcome and Assessment Information Set (OASIS), Value Based Purchasing (VBP), Care Compare, and clinical documentation
Keep a team of elite healthcare professionals operational

Qualification

ICD-10 codingOASISHCS-D certificationCOS-C certificationRegistered Nurse licenseHome health experienceRegulationsCommunication skillsOrganizational skillsProject management skillsConfidentiality maintenance

Required

Associate degree in Nursing is required
3 years of experience as a Registered Nurse in home health and/or hospice
Current state license as a Registered Nurse
Certified Homecare Coding Specialist (HCS-D), or willing to obtain within 6 months
Certified OASIS Specialist-Clinical (COS-C), or willing to obtain within 6 months
Good communication skills both written and verbal
Proven organizational development and project management skills
Exhibits working knowledge of regulations and reimbursement in home health, hospice, and behavioral health
Ability to maintain the confidentiality of sensitive financial, clinical, and operational information

Benefits

Competitive compensation package
Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost
Comprehensive insurance plans for medical, dental, and vision benefits
401(K) with employer match
Paid time off, paid holidays, family, and pet bereavement
Pet insurance

Company

Elara Caring

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Elara Caring offers personalized in-home care services.

H1B Sponsorship

Elara Caring has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
2022 (1)
2020 (1)

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
HarbourVest Partners
2019-01-31Private Equity

Leadership Team

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Brent Nash
Mergers and Acquisitions Consultant
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Company data provided by crunchbase