Clinical Consultant

Healthcare Provider Solutions, Inc.; United States; Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

PTO from day one

11 paid holidays

Medical & life insurance

Dental & vision coverage

Retirement plan with company match

100% remote work option

Job summary

Healthcare Provider Solutions is seeking a full-time remote Clinical Consultant to join our clinical consulting team. The ideal candidate has at least 2 years of hospice quality assurance/compliance experience and an RN or Therapist license.

You will perform remote and on-site chart audits for clinical, HOPE, and billing issues, document summary reports, and participate in mock surveys when required. The role requires travel about one third of the time.

Qualifications

• Minimum 2 years of hospice auditing/compliance experience.
• Willing to travel about 1/3 of the time.
• Registered Nurse or Therapist required.
• Experience with mock surveys and multiple hospice EMR systems.

Responsibilities

• Participate in remote and on-site chart audits for clinical, HOPE, and billing issues.
• Document summary reports and forward them to supervisor and client.
• Possibly conduct mock surveys for hospice agencies.
• Keep updated on Medicare hospice issues and answer client questions.
• Participate in teleconferences and forums on Medicare hospice issues.

Skills

Hospice auditing

Compliance reviews

EMR systems

Education

RN licensure

Therapist license

Tools

Mock Surveys

Job description

Healthcare Provider Solutions is a growing healthcare company providing billing, coding, financial, operational, educational, and clinical consulting to the home care and hospice industries. Healthcare Provider Solutions’ core services include home care & hospice billing and collections, coding, receivable collection projects, clinical compliance chart reviews, operational reviews, and education through seminars and webinars.

We do what we love while providing excellent service and treating each other with respect! HPS is an organization that is dedicated to their clients, their work, and their employees.

Our company is seeking a full-timeREMOTE 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.

• 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
• 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.