Clinical Consultant
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Healthcare Provider Solutions, Inc.
US
Summary
The Clinical Consultant will perform remote and on-site chart audits, including ADR, UPIC, SMRC, and OIG reviews, to ensure clinical and billing compliance. Additionally, the role involves answering client clinical questions, conducting mock surveys, and staying updated on Medicare hospice regulations.
Job Description
Our company is seeking a full-time REMOTE Clinical Consultant to work on our clinical consulting team. The ideal candidate for this job has a minimum of 2 years of experience in Hospice Quality Assurance/Compliance reviews.
Responsibilities & Expectations:
- Participate in the completion of remote and on-site chart audits for clients regarding clinical, HOPE, and billing issues. Conduct ADR/UPIC/SMRC/OIG chart reviews for clients upon request.
- Document summary reports regarding the results of these audits and forward them to both supervisor and client.
- Possibly conduct mock surveys for hospice agencies.
- Keep updated on Medicare hospice issues utilizing websites, teleconferences, newsletters, magazines, etc.
- Answer clinical questions from clients or potential clients that email questions.
- Participate in any/all teleconferences, meetings, and forums that focus on Medicare hospice issues to maintain a high standard set for HPS staff.
- Potentially, perform related research and writing of hospice related articles for HPS Blog.
- Professional candidates must be able to travel approximately 1/3 of the time.
Requirements:
- At least 2 years of experience in hospice auditing/compliance preferably the last two years
- Travel at least 1/3 of the time
- Registered Nurse or Therapist
- Experience with Mock Surveys
- Experience in multiple EMR systems for hospice is a MUST.
Compensation and Benefits
- Paid Time Off (PTO; starts accruing day one and is available for use following probationary period of 60 days)
- Eleven paid holidays off per calendar year, including 2 floating holidays annually
- Company paid medical and life insurance policy for employee upon eligibility
- Dental, vision and dependent medical coverage offered to employee, at cost upon eligibility
- Retirement plan with company match available immediately upon hire
- Bonus eligible
- Salary-exempt
- Job Type: Full-time
Why Healthcare Provider Solutions?
- We believe in working hard for our clients and working even harder to make all employees feel respected and rewarded for their hard work
- HPS is growing! With that, comes the rewarding challenge of performing at a high level with an emphasis on teamwork
- Competitive salary range including great health benefits
- Flexibility to work 100% remote in this role
Healthcare Provider Solutions is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic, information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
Founded by Melinda A. Gaboury, COS-C and D. Mark Cannon, CPA in 2001, Healthcare Provider Solutions provides financial, reimbursement, billing, and clinical consulting to the home care and hospice industries. Our team of dedicated, seasoned professionals serves clients across the United States.
Healthcare Provider Solutions excels at offering the highest quality products and services for home care and hospice agencies. Our expertise and core services include home care & hospice billing and collections, receivable collection projects, clinical compliance chart reviews, operational reviews, and education through seminars and webinars. Committed to excellence, our solutions and resources empower agencies to optimize reimbursement and enhance operations.
Founded
2001
Company size
51-200 employees
Industry
Hospitals and Health Care
Org type
Public Company
Headquarters
Nashville, TN
Founded by Melinda A. Gaboury, COS-C and D. Mark Cannon, CPA in 2001, Healthcare Provider Solutions provides financial, reimbursement, billing, and clinical consulting to the home care and hospice industries. Our team of dedicated, seasoned professionals serves clients across the United States.
Healthcare Provider Solutions excels at offering the highest quality products and services for home care and hospice agencies. Our expertise and core services include home care & hospice billing and collections, receivable collection projects, clinical compliance chart reviews, operational reviews, and education through seminars and webinars. Committed to excellence, our solutions and resources empower agencies to optimize reimbursement and enhance operations.
Founded
2001
Company size
51-200 employees
Industry
Hospitals and Health Care
Org type
Public Company
Headquarters
Nashville, TN