Essential Responsibilities Qualified individuals must be capable of performing the following essential duties and responsibilities, with or without reasonable accommodations:

• Responsible for the review and correction of all assigned clinical documentation errors as identified in the agency EMR reports and work queues.
• Collaborates with Clinical Operations (CHHA, Hospice, LHCSA) and PFS on resolving clinical documentation issues that impact timely billing. 
•  Reviews all documentation requests by third party payers to respond to claim denials for medical justification including but not limited to Medicare ADR’s and Medicaid Determinations. 
• Monitor and track on weekly basis system errors that incorporate measurable outcomes showing a reduction in system errors.  Report these outcomes to Supervisor and Administration via dashboard reports.
• Responsible for, performs and oversees Agency Rebuild process. 
• Responds to and resolves clinical documentation issues resulting in billing inquiries.
• Documentation expertise in all areas of Certified Agency Clinical Documentation/Justification Requirements including but not limited to 5 elements of Medicare documentation. Completes chart reviews as appropriate or as assigned.
• Provides staff training and education on clinical documentation error trending and prevention as assigned, in collaboration with the Education team and clinical operations leadership.
• Responsible for the Key Performance Indicators (KPI’s) established by their manager.

Values: Perform all responsibilities in a manner that serves UR Medicine Home Care’s Mission and upholds the organization’s ICARE values of Integrity, Compassion, Accountability, Respect, and Excellence.

Safety: We expect our employees to follow all objectives for safe work performance and be responsible for their own actions and conduct. Our workers also play a significant role in the success or failure of our organization.

Education & Experience - Applicants must possess the following qualifications or an equivalent combination of education and experience:

• Registered Nurse, Bachelor’s degree required.
• Minimum two years of Home Health Agency experience and knowledge of documentation standards preferred.

Knowledge, Skill, & Ability Requirements

• Knowledge of Medicare Home Care and Hospice rules and regulations and governing third party payers.
• Excellent interpersonal skills.
• Excellent oral and written communication skills.
• Excellent organizational and analytical skills.
• Positive customer relation skills and the ability to work effectively as a member of interactive teams.

Technical & Systems/Equipment Proficiencies

• Experience working with various PC based software programs, i.e., Excel, MS Word, etc. 

All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity or expression, age, protected veteran status, qualified individual with disability status, or any other protected class.

Salary Range: $52,790 to $77,584