LPN Clinical Appeals Auditor

Job Summary

A company is looking for a Clinical Appeals Auditor - Remote.

Key Responsibilities

• Reviews clinical documentation for Home Health, Hospice, LTACHs, and Community-Based Services in response to governmental audits
• Drafts professional response letters and manages internal determinations for audit appeals
• Maintains up-to-date knowledge of federal/state regulations, industry standards, and internal policies related to compliance and reimbursement

Required Qualifications

• Associate's degree in Nursing
• Current and unrestricted licensure as a LPN
• 1+ years of experience in hospice, LTACH, and/or home health care
• Working knowledge of reimbursement and compliance regulations
• Proficient in Microsoft Office applications (Word, Excel, etc.)