LPN Clinical Appeals Auditor

Job Summary

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

Key Responsibilities

• Reviews clinical documentation for various services in response to governmental audits
• Ensures consistency in clinical reviews and manages internal determinations for audit appeals
• Maintains knowledge of regulations and collaborates across departments to address audit trends

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 (Word, Excel, etc.)