Electronic Visit Verification Coordinator (EVV)

Graham Healthcare Group; Washington (District of Columbia); Hybrid; USD 75,000 - 110,000; Full time

Benefits offered by this job

Competitive Pay: With opportunity for/

Health and Welfare Benefits: Various医疗

Supplemental Benefits: Company paid 1i

Generous PTO Packages

Retirement: 401k plan and pension

Company-Paid Education Programs: 50% 你

Job summary

Graham Healthcare Group seeks an EVV Coordinator to oversee day-to-day EVV operations across states, ensuring compliance with the 21st Century Cures Act and Medicaid EVV requirements. You will bridge HCHB and HHAeXchange, manage data transmissions, monitor exceptions, and support audits, with collaboration across clinical ops, scheduling, billing, and IT.

This role requires hands-on EVV experience and strong analytical, training, and cross-functional skills to drive accurate visit capture and

Qualifications

• 2+ years of experience in home health, home care, hospice operations, billing, or compliance.
• Direct hands-on experience with HCHB (Homecare Homebase) required.
• Experience with HHAeXchange or another state EVV aggregator/vendor platform required.
• Working knowledge of the 21st Century Cures Act EVV mandate and Medicaid EVV requirements.
• Strong analytical and data reconciliation skills; comfortable working in spreadsheets and system reports.
• Excellent written and verbal communication skills, with ability to train non-technical staff.
• Ability to manage multiple state-specific compliance requirements simultaneously.

Responsibilities

• Monitor daily EVV visit data flow from HCHB into Home Health Exchange (HHAeXchange) to ensure timely, accurate transmission of visit records.
• Track and resolve EVV exceptions (missed clock-ins/outs, GPS mismatches, late visits, manual entries) in accordance with agency policy and state-specific timeframes.
• Maintain current knowledge of EVV mandates and reporting requirements for each state Medicaid program the agency operates in, including state-specific aggregator specifications, visit data elements, and reason code libraries.
• Serve as the primary point of contact for state Medicaid EVV aggregator inquiries, audits, and data reconciliation requests.
• Ensure visit verification data supports clean claims submission and reduces EVV-related claim denials or payment holds.
• Configure and maintain EVV-related settings within HCHB (visit types, GPS/telephony rules, exception codes, payer mappings) to align with each state's EVV model.
• Manage the HCHB–HHAeXchange interface, including file transmissions, error queues, rejection reports, and reconciliation of unmatched or rejected visits.
• Coordinate with HCHB and HHAeXchange support/account teams to troubleshoot integration issues, system updates, or data mapping changes.
• Test and validate system updates, new state rollouts, or payer changes in a non-production environment before go-live.
• Generate and distribute daily/weekly/monthly EVV compliance reports (exception rates, aging exceptions, unmatched visits, visit verification percentages) to branch and executive leadership.
• Identify trends in EVV exceptions by branch, caregiver, or payer and recommend corrective action or training.
• Support internal and external audits (state, payer, accreditation) with documentation of EVV compliance and data integrity.
• Train field clinicians, schedulers, and branch office staff on EVV workflows, mobile app clock-in/out procedures, and exception resolution within HCHB.
• Partner with billing/RCM teams to resolve EVV-related claim edits, denials, or hold codes tied to visit verification mismatches.
• Support new-state or new-branch onboarding by configuring EVV workflows and training staff ahead of go-live.
• Act as liaison between the agency and state EVV program contacts, HHAeXchange, and HCHB during system changes or regulatory updates.

Skills

Analytical skills

Data reconciliation

Excel / spreadsheets

Training / coaching staff

Cross-functional collaboration

Education

Associate or Bachelor’s degree in healthcare administration, business, or related field

Tools

Homecare Homebase

HHAeXchange

Job description

The EVV Coordinator is responsible for the day-to-day administration, monitoring, and optimization of the agency's Electronic Visit Verification program across applicable states of operation. This role ensures compliance with the 21st Century Cures Act EVV mandate and each state Medicaid program's specific EVV requirements, while managing the technical and operational interface between Homecare Homebase (HCHB) and Home Health Exchange (HHAeXchange). The EVV Coordinator serves as the subject matter expert for visit capture, exception management, claims matching, and aggregator submissions, working cross-functionally with clinical operations, scheduling, billing, and IT.

Electronic Visit Verification Job Responsilibities

EVV Operations & ComplianceResponsibilities

• Monitor daily EVV visit data flow from HCHB into Home Health Exchange (HHAeXchange) to ensure timely, accurate transmission of visit records.
• Track and resolve EVV exceptions (missed clock-ins/outs, GPS mismatches, late visits, manual entries) in accordance with agency policy and state-specific timeframes.
• Maintain current knowledge of EVV mandates and reporting requirements for each state Medicaid program the agency operates in, including state-specific aggregator specifications, visit data elements, and reason code libraries.
• Serve as the primary point of contact for state Medicaid EVV aggregator inquiries, audits, and data reconciliation requests.
• Ensure visit verification data supports clean claims submission and reduces EVV-related claim denials or payment holds.

System Administration (HCHB & HHAeXchange)

• Configure and maintain EVV-related settings within HCHB (visit types, GPS/telephony rules, exception codes, payer mappings) to align with each state's EVV model (state-mandated aggregator vs. agency/vendor model).
• Manage the HCHB–HHAeXchange interface, including file transmissions, error queues, rejection reports, and reconciliation of unmatched or rejected visits.
• Coordinate with HCHB and HHAeXchange support/account teams to troubleshoot integration issues, system updates, or data mapping changes.
• Test and validate system updates, new state rollouts, or payer changes in a non-production environment before go-live.

Reporting & Auditing

• Generate and distribute daily/weekly/monthly EVV compliance reports (exception rates, aging exceptions, unmatched visits, visit verification percentages) to branch and executive leadership.
• Identify trends in EVV exceptions by branch, caregiver, or payer and recommend corrective action or training.
• Support internal and external audits (state, payer, accreditation) with documentation of EVV compliance and data integrity.

Training & Cross-Functional Support

• Train field clinicians, schedulers, and branch office staff on EVV workflows, mobile app clock-in/out procedures, and exception resolution within HCHB.
• Partner with billing/RCM teams to resolve EVV-related claim edits, denials, or hold codes tied to visit verification mismatches.
• Support new-state or new-branch onboarding by configuring EVV workflows and training staff ahead of go-live.
• Act as liaison between the agency and state EVV program contacts, HHAeXchange, and HCHB during system changes or regulatory updates.

Electronic Visit Verification Job Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• 2+ years of experience in home health, home care, hospice operations, billing, or compliance.
• Direct hands-on experience with HCHB (Homecare Homebase) required.
• Experience with Home Health Exchange (HHAeXchange) or another state EVV aggregator/vendor platform required.
• Working knowledge of the 21st Century Cures Act EVV mandate and Medicaid EVV requirements.
• Strong analytical and data reconciliation skills; comfortable working in spreadsheets and system reports.
• Excellent written and verbal communication skills, with ability to train non-technical staff.
• Ability to manage multiple state-specific compliance requirements simultaneously.

EDUCATION AND/OR EXPERIENCE

• Familiarity with additional EVV aggregators (e.g., Sandata, Tellus, CareBridge) is a plus.
• Background in home health billing/revenue cycle, with understanding of claims-to-visit matching.
• Associate or bachelor’s degree in healthcare administration, business, or related field (or equivalent experience) preferred.

CERTIFICATES, LICENSES, REGISTRATIONS
Must have and maintain in good standing professional license, certificate, or registration, as applicable.

PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

Specific vision abilities required by this job include close vision and the ability to adjust focus.

WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions.

COMMENTS
This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.

About Graham Healthcare Group:

As an innovator in an evolving healthcare world, Graham Healthcare Group has been designing business and technology solutions to drive better care, outcomes, and productivity within its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the healthcare continuum.

Join the Graham Healthcare Group and enjoy the following benefits:

• Competitive Pay: With opportunity for advancement
• Health and Welfare Benefits:Variousmedical, dental, and vision insurance options for you and your family to choose from.
• Supplemental Benefits:Company paid life insurance and disability benefits. Also, pre-tax FSA and HSA plans are offered.
• Generous PTO Packages.
• Retirement: Save for your future with our company offered 401k planand pension.
• Company-Paid Education Programs: Grow your career by taking advantage of 50% discounts on tuition for selected courses offered by Purdue and Kaplan.

Benefits may vary based on your employment status.

NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.

By supplying your phone number, you agree to receive communication via phone or text.

By submitting your application, you are confirming that you are legally authorized to work in the United States.

JR# JR257585