Job Description

Description
Jet Health, Inc is seeking an experienced Home Health Clinical Reviewer to be responsible for reviewing clinical documentation to ensure compliance with Medicare guidelines, company policies, and regulatory standards. This role supports quality improvement efforts by verifying the accuracy, completeness, and timeliness of documentation submitted by field clinicians. The Clinical Reviewer plays a critical role in maintaining the integrity of patient care records and ensuring timely reimbursement.
Key Responsibilities
Review OASIS assessments, Plan of Care, and clinical documentation for accuracy, consistency, and compliance.
Validate appropriate ICD-10 coding and ensure documentation supports medical necessity and skilled services.
Work closely with clinicians to provide education and feedback on documentation improvements and best practices.
Monitor documentation for adherence to regulatory and payer-specific requirements (e.g., CMS, Medicare, Medicaid, private insurers).
Ensure timely submission of documentation to support billing and avoid delays in reimbursement.
Participate in quality assurance and performance improvement (QAPI) initiatives.
Provide input and support for internal audits, surveys, and compliance reviews.
Collaborate with intake, billing, and clinical management teams to resolve documentation-related issues.
Requirements
Registered Nurse (RN) or Licensed Practical Nurse (LPN) with an active and unrestricted license (RN preferred).
Minimum 2 years of clinical experience in home health or a related healthcare setting.
Experience with OASIS and Medicare home health regulations required.
Familiarity with electronic medical records (EMR) systems; experience with systems like Homecare Homebase, WellSky (Kinnser), or MatrixCare is a plus.
Detail-oriented with strong analytical and critical thinking skills.
Excellent communication and interpersonal skills.
Ability to work independently and as part of a team in a fast-paced environment.
Preferred Qualifications
Certified Oasis Specialist – Clinical (COS-C) or other relevant certification.
Previous experience in quality assurance, utilization review, or compliance in home health.
Benefits For Full Time Employees
Medical, Dental, and Vision insurance coverage
Short- and Long-Term Disability insurance
Accident, Critical Illness, and Cancer Insurance
PTO - 80 hours after 60 days
6 paid holidays and 1 floating holiday
401k retirement savings plan w/discretionary company match
Company-paid life insurance
Mileage reimbursement
Competitive compensation package

Job Tags

Holiday work, Full time, Temporary work,

Similar Jobs

Saol Therapeutics

Lead Clinical Research Associate Job at Saol Therapeutics

...will make a difference in peoples lives. Location Roswell, GA (US Headquarters) Role Overview The Lead Clinical Research Associate is responsible for assigned aspects of clinical research management of CRAs and site management in accordance with applicable...

Workoo Technologies

Work From Home Jobs / Data Entry Clerk - Typing (Remote) Job at Workoo Technologies

About the job Work From Home Jobs / Data Entry Clerk - Typing (Remote)This is your opportunity to start a durable career with infinite opportunities. Get the freedom you've been trying to find by taking a minute to complete our application online.BenefitsExcellent...

Hawaiian Airlines, Inc.

Flight Attendant - Japanese Language Qualified Job at Hawaiian Airlines, Inc.

...Aloha and mahalo for your interest in the Flight Attendant - Japanese Language Qualified position with Hawaiian Airlines! We will have... ...attendants is to ensure the safety of our guests while aboard Company aircraft, by being physically and psychologically capable of performing...

Archdiocese of St. Louis

Musician Job at Archdiocese of St. Louis

...Ability to read music and follow liturgical cues with precision and reverence. Previous experience as a cantor or liturgical musician is strongly preferred. Reliable, punctual, and committed to regular attendance for scheduled liturgies and rehearsals. Willingness...

LaQuinta Inn & Suites Lexington South

Night Auditor Job at LaQuinta Inn & Suites Lexington South

...occupancy percentages Be able to work on your feet for a typical shift for 8 hours at a time in a dynamic, fast-paced environment... ...services, or night audit experience is preferred, but not required Overnight shift; requires flexible hours High school diploma or...

Clinical Reviewer - Home Health Job at Jet Health, Inc., Fort Worth, TX

Qk12U3BDL3RSRzhtdzRQWTQ1NE4xbS9TbEE9PQ==