Quality Assurance Specialist - Augusta Home Health & Hospice
Piedmont Healthcare
Overview Experience the advantages of real career change Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You'll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.
Responsibilities This position's principal function is to review the HOPE, initial, recertification and resumption plans of care (485) and supporting documentation in collaboration with the assessing clinician to ensure readiness for billing. This position provides operational support to the HH and HSP Performance Improvement Manager to complete audit activities, assure clinical documentation improvement is achieved, regulatory requirements and accreditation standards are met to protect the financial resources of the agency. This position works with clinical supervisors and billing managers/staff to support workflows impacting accuracy and timeliness of billing as it relates to HOPE, HUV assessments and physicians' plans of care. Qualifications Education
Responsibilities This position's principal function is to review the HOPE, initial, recertification and resumption plans of care (485) and supporting documentation in collaboration with the assessing clinician to ensure readiness for billing. This position provides operational support to the HH and HSP Performance Improvement Manager to complete audit activities, assure clinical documentation improvement is achieved, regulatory requirements and accreditation standards are met to protect the financial resources of the agency. This position works with clinical supervisors and billing managers/staff to support workflows impacting accuracy and timeliness of billing as it relates to HOPE, HUV assessments and physicians' plans of care. Qualifications Education
- Graduate from a recognized, accredited school of nursing Required
- Bachelor's Degree in nursing or health-related field Preferred
- 2 years of experience in nursing Required and
- 3 years of experience in Hospice either in direct patient care or supporting Hospice operations within the last five years. Total minimum experience required is five years. Required
- RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure
Vacancy posted 3 days ago
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