Medical Record Reviewer
Community Home Health Care & CIHC
Job Description
Job Description
Medical Record Reviewer
Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is essential to ensuring our client records meet professional standards and support safe, high-quality care.
What You’ll Do
Clinical Record Audits & Documentation Review
- Perform monthly audits of skilled nursing notes for all visiting nurses.
- Provide direct, timely feedback to nurses on missing or incorrect documentation.
- Re-audit records when deficiencies continue and notify the Clinical Manager as needed.
- Audit OASIS assessments (SOC, ROC, Recertification, and Follow-Up) prior to transmission.
- Audit at least 10% of each RN Case Manager’s charts monthly, focusing on recerts, SOC, and ROC visits.
- Audit all documentation for newly hired RN Case Managers during their probation period.
- Complete discharge record reviews and notify RN Case Managers when discharge charts need QA review.
Deficiency Identification & Follow-Up
- Review charts for accuracy, completion, legal compliance, and proper care documentation.
- Document deficiencies on the Case Conference Review form.
- Notify nurses and department staff of deficiencies and required corrections.
- Conduct discharge analysis when clients leave the agency.
Reporting & Collaboration
- Track patterns and trends in documentation issues.
- Communicate concerns and recurring problems to the Clinical Manager.
- Support corrective action steps when needed.
- Compile a quarterly audit report summarizing the previous three months.
- Assist with ongoing chart review processes as assigned.
What We’re Looking For
- Active RN license in the State of Indiana.
- Strong understanding of home health documentation standards, Medicare/Medicaid requirements, and OASIS.
- Excellent attention to detail and strong organizational skills.
- Ability to communicate clearly, professionally, and constructively with nursing staff.
- Comfortable working fully in-office in a fast-paced environment.
- Previous QA or chart auditing experience preferred, but strong clinical documentation skills will also be considered.
Schedule & Work Environment
- Monday–Friday schedule, in-office at the Fort Wayne location.
- Works closely with the Clinical Manager, RN Case Managers, and field staff.
- Computer-based role with consistent chart auditing and record review responsibilities.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state, or local laws. We are committed to creating a diverse and inclusive workplace for all employees.
- ...the development and maintenance of quality work instructions utilized by techs to complete Quality Action Plans (QAPs). Regularly review and update existing documentation to reflect process changes, improvements, or regulatory updates. Work closely with Manufacturing...SuggestedFull timeWork at officeRelocation
- ...working in the patient care setting, preferably as a patient care giver. Prefer one year of clerical experience, preferably in the medical field. Other Qualifications Must have proficient computer skills and general understanding of computer applications. Demonstrates ability...Suggested
$18 - $20 per hour
Patient Experience Coordinator At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental service organization (DSO). Our best-in-class training program, competitive compensation, and flexible scheduling...SuggestedFull timeFlexible hoursNight shift$20 - $22 per hour
...specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: ~ Medical, dental & vision ~ Critical Illness, Accident, and Hospital ~401(k) Retirement Plan Pre-tax and Roth post-tax contributions...SuggestedContract workTemporary work- ...workload with periodic high stress and activity levels. Standard medical office conditions and environments. Interactions with... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....SuggestedWork at officeLocal areaImmediate startFlexible hours
- ...PTO when needed. Job Responsibilities: Manage Hospice Medical Records blast for your team and follow up on all requests in a timely... ...intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and...Work experience placementWork at officeLocal area
- This is a contract job opportunity Position: Patient Access Representative 5071 Location: Fort Wayne IN Schedule: Monday - Friday. 6:00am-2:30pm Projected duration: 3 months Job code: CVDJP00035071 W2 pay rate - $20.75 per hour benefits are available...Hourly payContract workMonday to Friday
- ...Lutheran Health Physicians in Fort Wayne, Indiana is seeking a Certified Medical Assistant (CMA) to provide patient care under the supervision of a medical provider. This role involves assisting with clinical procedures, managing patient intake, and maintaining clinic...Work at office
- ...maintaining excellent customer relations. Candidates with good communication skills and the ability to handle changing delivery situations are encouraged to apply. The position offers competitive wages, medical benefits, and career growth opportunities. #J-18808-Ljbffr...
- Job Requirements The Transportation Specialist is responsible for coordinating all logistics involved with inbound and outbound product shipments. Their primary responsibility is managing freight to flow in a timely, efficient, and cost-effective manner for our customers...Full time
- ...priorities to focus resources appropriately. Works interdepartmentally to instill and support a safety culture. Facilitates and maintains records for all safety training requirements. Documents and maintains procedures, processes, instructions and records for environmental...Permanent employmentWork at officeLocal area
- ...quickly and effectively to changing delivery situations. Driving record must meet the standard set in the company's 14/18‑point record... ...Plan & 401k with Employer Contributions Starting Day One Medical, Dental, & Vision Insurance with Optional Flexible Spending Account...Local areaImmediate startFlexible hours
- Provides excellent, quality and consistent care to all critically ill infant populations. Demonstrates competency in all therapeutic procedures and in the theory and operation of all monitoring devices. Can effectively serve as an adjunct clinical instructor for affiliate...
- ...quickly and effectively to changing delivery situations. Driving record must meet the standard set in the company's 14/18-point record... ...Plan & 401k with Employer Contributions Starting Day One Medical, Dental, & Vision Insurance with Optional Flexible Spending...Local areaImmediate startFlexible hours
- ...quickly and effectively to changing delivery situations. Driving record must meet the standard set in the company's 14/18-point record... ...Plan & 401k with Employer Contributions Starting Day One Medical, Dental, & Vision Insurance with Optional Flexible Spending...Local areaImmediate startFlexible hours
- ...companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are... ...Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case...Full timeWork experience placementWork at office
- ...quickly and effectively to changing delivery situations. Driving record must meet the standard set in the company's 14/18-point record... ...Plan & 401(k) with Employer Contributions Starting Day One Medical, Dental, & Vision Insurance with Optional Flexible Spending Account...Local areaImmediate startFlexible hours
- ...patients in coping with hospitalization, treatment plans, and medical procedures by offering emotional and psychological support. Collaborates... ...patient interactions and maintains accurate, confidential records in accordance with hospital policies and regulatory...Full timeMonday to FridayDay shift
$850 - $1,200 per week
...and provide quotes for TruGreen services Maintain accurate records of treatments, customer instructions, and service notes... ...license and clean driving record Must be able to obtain a DOT medical card Ability to read work instructions and complete documentation...Hourly payLocal area- ...Part-Time): ~ Competitive pay ~ Unrivaled company culture ~ Medical, dental and vision plans ~ Exclusive discounts and perks,... ...apply to join our team. Fair Chance: An applicant's criminal record is not a disqualification from employment and will be...Hourly payFull timeTemporary workPart timeLocal areaFlexible hoursNight shift
- We are seeking a proactive, self-directed Safety Specialist. The ideal candidate will be a CHST Certified professional with a sharp eye for detail, a deep understanding of OSHA regulations, and the interpersonal skills necessary to foster a culture of safety on-site. You...For contractorsFor subcontractorWork at office
- ...management experience. Experienced individual with ability to review technical SOWs, understand work scope, and hold other functions... ...including pregnancy, childbirth, breastfeeding or other related medical conditions), gender identity, gender expression, sexual orientation...Contract workFor subcontractorWork at officeLocal area
- ...companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are... ...Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case...Full timeWork experience placementWork at office
- EHS SpecialistFort Wayne, INOn-Site/ Direct HireA growing manufacturing organization is seeking an Environmental, Health & Safety professional to lead safety, environmental compliance, and industrial hygiene initiatives within a dynamic production environment.This role...
$80k - $93k
...site personnel. Maintain all pertinent safety and environmental records. Maintain workers compensation files and investigate incidents.... ...with computer, including Microsoft Outlook and Excel. Benefits Medical, dental, and vision insurance. HSA and FSA plans available. 401...Full timeTemporary workLocal areaRelocation package- ...package and we are always looking for individuals with the talent and skills required to contribute to our continued growth and success. Equal Opportunity Employer/Veterans/Disabled Affirmative Action Policy Please review our affirmative action policy. #J-18808-Ljbffr...Weekend work
- ...color, religion, age, national origin, ancestry, ethnicity, gender (including pregnancy, childbirth, breastfeeding or other related medical conditions), gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic...Local area
$21.63 per hour
...service area. Monitor and support individuals' health, safety, and medical needs. Facilitate job readiness training, employment assessment... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18...Hourly payFull timeLocal areaFlexible hoursNight shiftWeekend work$55.7k - $100.2k
...assignments/projects while simultaneously leveraging and applying knowledge of their assigned area(s) of responsibility. Preparing, recording, analyzing and reporting accounting transactions and ensuring the integrity of accounting records for completeness, accuracy and...Work experience placementWork at officeRelocation package3 days per week- ...life changing event. Assist clients through the appeal process. Help initiate the appeal request, print and provide updated medical records and attend the appeal hearing. We are seeking candidates with the following qualities: High school diploma or equivalent...Temporary workWork experience placementWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Record Reviewer. Be the first to apply!
- emergency medical Fort Wayne, IN
- medical electronics Fort Wayne, IN
- medical solutions Fort Wayne, IN
- medical screener reception technician Fort Wayne, IN
- internships for medical students Fort Wayne, IN
- medical intern Fort Wayne, IN
- remote medical data entry Fort Wayne, IN
- director medical writing Fort Wayne, IN
- medical affairs Fort Wayne, IN
- medical communications Fort Wayne, IN


