Elara Capital

Clinical Quality Auditor

Elara Capital

full-time

Posted on:

Location Type: Remote

Location: IllinoisMissouriUnited States

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About the role

  • Perform comprehensive audits within the skilled home health, hospice, and behavioral health agencies at Elara Caring
  • Ensure compliance with Medicare and Medicaid regulations
  • Focus areas include ICD-10 coding, OASIS, Value Based Purchasing, Care Compare, and clinical documentation
  • Support a team of elite healthcare professionals operationally
  • Report to the Director of Quality Audit and Education

Requirements

  • 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 Speicalist (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
  • Opportunities for advancement
  • 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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
ICD-10 codingOASISValue Based Purchasingclinical documentationhome healthhospicebehavioral health
Soft Skills
communication skillsorganizational developmentproject management
Certifications
Associate degree in NursingRegistered Nurse licenseCertified Homecare Coding Specialist (HCS-D)Certified OASIS Specialist-Clinical (COS-C)