DMT Clinical Records & Audit Support Specialist

Deercreekseniorliving; Northern (KY); Hybrid; USD 45,000 - 60,000; Full time

Benefits offered by this job

Full benefits

Paid time off

401(k) match

Job summary

The Pennant Group, Inc. is seeking a DMT Clinical Records & Audit Support Specialist to assist the Denials Management Team with Medicaid audits and Part B requests. You will coordinate and assemble clinical, billing, and administrative records into complete packets for review and submission.

You will review requests, locate records in EMR systems, identify gaps, ensure quality, and communicate follow-up needs while supporting audit tracking and process improvement.

Qualifications

• Current Licensed Practical Nurse (LPN) license preferred or substantial clinical knowledge.
• Experience with Medicaid Home Health, Hospice, home care, or Part B physician services preferred.
• Proficiency in locating, researching, and referencing Medicare/Medicaid guidelines.

Responsibilities

• Coordinate and compile records for Medicaid audits and Part B requests.
• Identify exact records, dates, and submission requirements.
• Locate, collect, organize, and compile documentation from EMR and other systems.
• Identify gaps or inconsistencies and escalate as needed.
• Organize records to approved packet structure with indexing and bookmarks.
• Ensure completeness by comparing records to requests and checklists.
• Communicate with agency staff and teams about due dates and outstanding records.
• Maintain audit activity and documentation in DMT tools and folders.
• Reference regulatory guidelines to support compilation requirements.
• Protect confidential information per HIPAA and company policy.
• Participate in cross-training and process improvements.

Skills

Attention to detail

Strong communication

HIPAA knowledge

Microsoft Excel

PDF editing

Smartsheet

SharePoint

Team collaboration

Education

LPN license

Tools

Homecare Homebase

Smartsheet

SharePoint

Teams

Excel

Job description

JOB SUMMARY

The DMT Clinical Records & Audit Support Specialist assists the Denials Management Team and agencies by coordinating and compiling clinical and administrative records for Medicaid audits and Part B physician services requests. This position reviews requests to identify the documentation needed, locates and organizes records from available systems, and prepares complete, accurate, and professionally assembled packets for internal review and submission. The specialist applies clinical knowledge to recognize relevant documentation, identify potential gaps, and communicate follow-up needs while supporting audit tracking, documentation management, and process improvement activities.

DUTIES & RESPONSIBILITIES

• Support the Denials Management Team in coordinating and compiling records for Medicaid audits, Part B physician services requests, and other assigned reviews.
• Review audit and documentation request letters to identify the exact records, date ranges, claim information, and submission requirements requested.
• Locate, collect, organize, and compile clinical, billing, administrative, and supporting documentation from electronic medical records and other approved systems.
• Use clinical knowledge to identify relevant documentation and recognize potential gaps, inconsistencies, missing signatures, or incomplete records for escalation to the appropriate reviewer or leader.
• Organize records in the approved packet structure, including indexing, bookmarking, pagination, file naming, and quality review of the final compiled document.
• Compare compiled records to the request and internal checklist to confirm completeness before routing the packet for clinical, audit, or leadership review.
• Communicate clearly with agency staff, physician services teams, clinical personnel, and DMT team members regarding outstanding records, questions, and due dates.
• Maintain accurate audit activity, record-request status, notes, and supporting documentation within DMT applications, Excel, Smartsheet, and designated folders.
• Locate and reference applicable Medicare, Medicaid, CMS, payer, and state regulatory guidelines to support record identification, compilation requirements, and appropriate escalation of questions.
• Protect confidential information and follow HIPAA, company policies, approved submission processes, and applicable payer or regulatory requirements.
• Participate in cross-training, education, and process improvement efforts; promote CAPLICO values and a collaborative, quality-driven culture.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)

• Current Licensed Practical Nurse (LPN) license preferred; candidates with substantial clinical knowledge or relevant healthcare experience may be considered.
• Experience in Medicaid Home Health, Hospice, home care, or Part B physician services strongly preferred.
• Clinical knowledge sufficient to recognize common medical record components, plans of care, orders, visit or procedure documentation, and supporting billing documentation.
• Previous experience with healthcare audits, medical record requests, additional documentation requests, payer reviews, or record compilation preferred.
• Ability to locate, research, and reference Medicare, Medicaid, CMS, payer, and applicable state regulatory guidelines and documentation requirements; prior experience using regulatory resources preferred.
• Experience navigating electronic medical records and healthcare information systems; Homecare Homebase or physician practice systems experience preferred.
• Comfortable using PDF editing and document‑assembly tools, including combining files, organizing pages, creating bookmarks, and performing final packet quality checks.
• Proficiency with Microsoft Office, including Excel and Outlook; experience with Smartsheet, SharePoint, Teams, or similar platforms preferred.
• Strong attention to detail with the ability to follow exact request language, checklists, naming conventions, and established workflows.
• Detail and deadline oriented with the ability to organize, prioritize, and manage multiple assignments in a fast‑paced environment.
• Demonstrates initiative in researching and resolving routine issues and appropriately escalating clinical, regulatory, or documentation concerns.
• Clear written and verbal communication skills with the ability to collaborate effectively with clinical and non‑clinical stakeholders.
• Ability to work independently and as part of a team, adapt to evolving requirements, accept feedback, and maintain confidentiality.

Location: Remote

Compensation: $45,000 - $60,000

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Why Join Us?

Something else that sets us apart from other companies is the quality of our most valuable resources – our people! We are dedicated to living out our culture as defined by our core values, “CAPLICO”: Customer Second – We prioritize and support our team so they can deliver exceptional care. Accountability – Own your work and outcomes. Passion for Learning – Grow continuously with curiosity and culture. Love One Another – Build authentic, respectful, and trusting relationships. Intelligent Risk Taking – Innovate and challenge the status quo. Celebrate – Recognize the small wins, they add up! Ownership – Be the CEO of your role.

Additional Benefits

• True Work-Life balance – We believe in taking care of yourself before you take care of others!
• Full benefits package (medical, dental, vision, 401(k) with match)
• Paid time off, holiday pay, and professional development
• Your voice matters!
• - Work with other passionate and high-achieving leaders who care deeply about patient outcomes and team success.

About Pennant Services

We support over 180 home health, hospice, senior living, and home care operations across 14 states. Our Service Center model empowers local leadership while providing centralized clinical, legal, HR, IT, and compliance support to help ensure high-quality care. www.pennantgroup.com The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com. Pennant Group is one of the most dynamic and progressive companies in the rapidly expanding senior living, home health, hospice, and home care industries. Affiliates of Pennant now operate more than 250 senior living, home health, hospice, and home care operations across 16 states and we are growing! These operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center,” a world-class service team that provides the centralized clinical, legal, risk management, HR, training, accounting, IT and other resources necessary to allow on‑site leaders and caregivers to focus squarely on day‑to‑day care and business issues in their individual agencies. More information about Pennant is available at https://pennantgroup.com/. Something else that sets us apart from other companies is the quality of our most valuable resources – our people! We are dedicated to living out our culture as defined by our core values, CAPLICO: Customer Second Accountability Passion for Learning Love One Another Intelligent Risk Taking Celebrate Ownership By incorporating these principles at all levels of our organization, our employees feel valued and excited about their impact on our service center team members and operational partners. Our culture fosters excellence both personally and professionally and promotes development that leads to continued success.

We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.