Now Hiring: Home Health RN/LPN – Review Choice Demonstration (RCD) Specialist Are you a detail-oriented clinician with proven experience navigating the complexities of Medicare’s Review Choice Demonstration (RCD)? Do you take pride in ensuring clean pre-claim submissions, high-quality documentation, and full regulatory compliance? If so, we want to meet you. About the Role: We are seeking an RN (or LPN with strong Medicare experience) to join our home health team in a specialized capacity, focusing on the RCD pre-claim review process, documentation quality assurance, and regulatory adherence. This is a critical role supporting both clinical and operational excellence by ensuring our claims are submitted clean and approved the first time. Key Responsibilities: * Manage and submit pre-claim review packets under the Review Choice Demonstration (RCD) program * Review clinical documentation for accuracy, completeness, and compliance with Medicare requirements * Collaborate with field clinicians to improve documentation related to: * Face-to-Face (F2F) Encounter documentation * Homebound status * Skilled need criteria * Serve as an internal resource on Medicare home health regulations, including: * Conditions of Participation (CoPs) * CMS documentation expectations * Medical necessity guidelines * Provide feedback and support to ensure timely, compliant, and high-quality submissions * Participate in ongoing quality improvement initiatives tied to documentation, claims success, and patient outcomes Perks & Benefits: * Health and dental coverage * Paid holidays and paid time off * Quarterly profit-sharing bonus * Paid mileage or company car * MTM Recognition Program * Stay Pay * Weekly pay on Fridays * Simple IRA with company match up to 3% * Life insurance * Competitive salary and benefits Pay
...Carolinas Piedmont Triad region are ranked among US News & World Reports Top 50 Best Places to Live and Top 40 Best Places to Retire in 2023. This includes: Affordable Living: Enjoy a family-friendly and affordable area, with housing costs 31% below the national...
(Junior) Management Consultant Needed in ShanghaiOverseas Chinese from South East Asia are most welcomeAbout us:On May 2007, IBG Shanghai... ...theory and practice. These divides are inevitable when doing business across bordersThe services of IBG are provided the kind of...
Location Name: Economic Institution - 61027001 Location ID: 61027001 SCA Cook II Location: Economic Institution - 61027001 Workdays/shifts : Weekdays - morning shifts . More details will be provided during the interview process. Employment Type: Full...
**JOB DESCRIPTION****Job Summary**The Sr Rep, Enrollment handles all processes related to membership eligibility inquiries and ensures membership accuracy within the system. Represents Enrollment Operations as a subject matter expert (SME) and works collaboratively with...
1. Aged between 23 and 35, responsible for introducing products and interacting with fans in the live broadcast room. Responsible for introducing products, interacting with fans and guiding sales in the live broadcast room. Through the above methods to enhance the support...