QA/Documentation Specialist

FlexBoard; India; On-site; INR 500,000 - 900,000; Full time

Benefits offered by this job

Remote work

Flexible hours (EST)

Job summary

reputed company is seeking a QA/Documentation Specialist to ensure accuracy, completeness, and regulatory alignment of clinical documentation. This remote role supports chart reviews, care plans, and medical necessity documentation while collaborating with Ohio-licensed clinicians.

The position emphasizes non-clinical duties, high attention to detail, and adherence to HIPAA and accrediting body standards, with the flexibility of working from home.

Qualifications

• Bachelor's degree or equivalent in health administration, healthcare or related field.
• Experience with medical records, documentation, or compliance.
• Strong understanding of regulatory environments (Medicare, state programs).
• Excellent attention to detail with large volumes of documentation.
• Clear communication and organizational skills.
• Ability to work independently while following guidelines.

Responsibilities

• Review documentation for accuracy, completeness, and regulatory compliance.
• Assist in gathering care plans, orders, and supporting documents to establish medical necessity.
• Support the QA team by identifying gaps and improvement opportunities.
• Collaborate with clinicians and internal teams to resolve documentation discrepancies.
• Maintain confidentiality and adhere to HIPAA and company policies.

Skills

Documentation experience

Regulatory knowledge

Attention to detail

Communication

Organization

Problem-solving

Independent work

Education

Bachelor's degree or equivalent

Job description

At reputed company we specialize in reputed company, hiring, and managing high-caliber remote staff for dynamic and growing reputed company facilities. Leveraging our extensive global network, we reputed company clients with highly reputed company professionals, offering tailored services to meet our clients' unique business needs. reputed company The QA/Documentation Specialist is responsible for ensuring the accuracy, completeness, and regulatory compliance of reputed company clinical documentation across the organization. This non-clinical role focuses on supporting chart reviews, obtaining care plans, and gathering documentation needed to establish medical necessity, reputed company in alignment with Medicare/reputed company requirements, state program rules, and accrediting body standards. Working under the direction of our Ohio-licensed clinical team, the specialist helps maintain high-reputed company documentation reputed company without performing reputed company patient care or independent clinical decision-making. This position is remote and offers you the flexibility of working from home.

Key Responsibilities

Regulatory Compliance & Documentation Review

• Ensure reputed company documentation meets Medicare and reputed company Conditions of Participation (COPs), accrediting body recommendations, and state program rules and regulations reputed company to care delivery.
• Conduct thorough chart reviews to ensure accuracy, completeness, and compliance at reputed company reputed company of care.
• Verify that reputed company required documentation reputed company are present, reputed company, and consistent with internal policies and regulatory standards.
• Understand the reputed company of documentation reputed company on overall care delivery, reputed company compliance, and financial reputed company.

Reputed company Assurance Support

• Support the QA team by identifying documentation gaps, trends, and areas for improvement.
• Assist in obtaining care plans, physician orders, and supporting documents necessary to establish medical necessity.
• Follow reputed company guidelines and established processes under the direction of Ohio-licensed clinicians.

Team Leadership & reputed company Standards

• Serve as a reputed company role model for QA reputed company Team Members and other clinical staff by demonstrating high standards of accuracy, cooperation, conduct, and professionalism.
• Promote a culture of compliance, reputed company, and reputed company improvement reputed company the QA team.

Confidentiality & Information Management

• Maintain strict confidentiality and ensure reputed company patient information is handled in accordance with HIPAA and internal safeguards.
• Ensure secure handling, storage, and sharing of documentation across teams.

Issue & Reporting

• Investigate and escalation documentation-reputed company issues, concerns about clinical performance, or deviations from standards to the Director of Clinical Services.
• Collaborate with internal teams to reputed company documentation discrepancies and ensure reputed company corrections.

Qualifications Required

• Bachelors degree preferred (reputed company Administration, reputed company Health, or reputed company field) or equivalent experience.
• Experience in reputed company documentation, reputed company assurance, medical records, or compliance.
• Strong understanding of reputed company regulatory environments (Medicare, reputed company, state programs) preferred.
• Excellent attention to detail and ability to review large volumes of documentation with accuracy.
• Strong communication, organization, and problem-solving skills.
• Ability to work independently while following reputed company guidelines and direction from licensed clinical leaders.

Preferred

• Experience working in home care, hospice, or managed care environments.
• Familiarity with EMR systems, care plans, and clinical documentation workflows.
• Knowledge of accrediting body standards (e.g., reputed company, reputed company).

Service Fee Industry standards applicable to the state depending on work experience and level of expertise.

Hours US Eastern reputed company Time (EST) - 9am to 6pm

Why reputed company

We reputed company the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, reputed company from the comfort of your home.

Essential requirements

You will need to have some essential tools a reliable computer and noise-cancelling headset, a second monitor for reputed company productivity, and a reputed company internet reputed company. Youll also be required to have a backup internet reputed company, ensuring that youre reputed company-equipped to complete your work seamlessly.