Senior Patient Accounting Specialist
INTEGRIS Health
Lead Assistant Manager – Training and Quality, Home Health
EXL
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Senior
About the role
- Mentor and inspire Home Health auditors through 1:1 and group training sessions
- Develop and maintain engaging training materials, online modules, and interactive guides
- Evaluate training effectiveness, identify knowledge gaps, and implement creative solutions
- Conduct employee assessments and track growth over time
- Provide timely, constructive coaching to boost performance and compliance
- Perform medical record audits to verify documentation accuracy and service alignment
- Ensure audits are consistent, clearly documented, and findings are well-articulated
- Compile detailed reports and maintain audit logs
- Drive productivity, quality, and internal savings goals
- Respond proactively to communications and collaborate across teams
- Participate in team meetings, brainstorms, and calibration sessions
- Identify and report issues affecting audit processes or provider performance
- Stay up to date with CMS/Chapter 7 Home Health Coverage Guidelines, National Coverage Guidelines and HH PPS Reimbursement
- Contribute to continuous improvement efforts by attending training and sharing insights
- Bring new ideas to the table to evolve training and auditing processes
Requirements
- RN with a license in good standing in the state that you reside.
- 5+ years home health experience
- OASIS certification and/or coding certification preferred but not mandatory.
- Previous experience in corporate training, clinical auditing, or utilization review
- Proficiency with Excel, PowerPoint, Word, Outlook, and Encoder tools (Optum, TrueCode, 3M, Webstrat)
- Experience, or equivalent, coding or auditing of Home Health OASIS and non-OASIS claims
- Ability to review SOC/ROC/Recert assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
- Ability to ensure appropriate ICD-10 coding and sequencing as it relates to the patient’s medical condition.
- Knowledge of CMS/Chapter 7 Home Health Coverage Guidelines, National Coverage Guidelines, and HH PPS Reimbursement
- Ability to pinpoint, extract, and use record information to cite issues related to overpayment.
