Job Overview We are seeking a detail-oriented, knowledgeable, and motivated Licensed Practical Nurse (or RN), specializing in Home Care with a focus on compliance and chart review. This role involves ensuring accurate medical documentation, adherence to CMS (Centers for Medicare & Medicaid Services) Standards, and maintaining high-quality patient care through meticulous review processes. The ideal candidate will possess strong clinical knowledge, familiarity with medical coding, and experience in utilization/chart review within Certified Home Health Agency (CHHA) settings.
Job Responsibilities
Duties
Review and analyze OASIS (Outcome and Assessment Information Set) data for accuracy, completeness, and compliance with regulatory standards.
Ability to review clinical documentation, visit notes, and plans of care for accuracy, medical necessity, and consistency.
Conduct thorough audits of medical records to ensure documentation aligns with Medicare requirements and NCQA (National Committee for Quality Assurance) standards.
Utilize EMR (Electronic Medical Record) systems such as HCHB (Home Care Home Base) to extract, review, and document clinical data efficiently.
Collaborate with, educate and train clinical staff to verify proper documentation of patient assessments, and treatments.
Apply knowledge of coding classifications for accurate medical management documentation.
Support compliance initiatives by identifying documentation deficiencies and recommending corrective actions.
Participate in ongoing education related to healthcare regulations, HIPAA privacy standards, and clinical documentation improvement strategies. Responsibilities
Numbers & Facts
Location
Brooklyn, NY
Job Type
Full-time
Salary
$87,000–$95,000 Per Year
Company Size
51 - 200
Headquarters
Brooklyn, NY, US
Qualifications
Qualifications:
Valid licensure as a Licensed Practical Nurse with current state certification.
Strong knowledge of Medicaid/Medicare regulations and guidelines
Proven experience in Certified Home Health Agency (CHHA), and nursing environments.
Familiarity with EMR/EHR systems, including HCHB.
Excellent attention to detail with the ability to review complex medical records accurately while maintaining confidentiality under HIPAA guidelines.
Join our team as we uphold the highest standards of clinical documentation and compliance in home health care delivery! Salary commensurate with experience.
Benefits
Paid Time-Off, Paid Sick Days, 401K
About Company
Excellent Home Care Services is a certified home health agency dedicated to providing compassionate and respectful care to patients across multiple communities. Our mission is to enhance the quality of life for our patients through comprehensive home health services delivered with integrity and excellence.
Skills
Centers for Medicare and Medicaid Services (CMS)unmatched