LPN – Clinical Auditing & Compliance Specialist

CareRite Centers, LLC; Ohio; On-site; USD 65,000 - 85,000; Full time

Job summary

CareRite Centers, LLC in Ohio is seeking a Full-Time Nurse to support our Clinical Auditing and Compliance satellite office. The role focuses on writing appeals, following up on audits and denials, and managing claims with attention to accuracy and timeliness.

You will develop tracking spreadsheets, train staff on claim management, and maintain professional communication with facilities. PDPM knowledge is a plus and can be learned on the job; onboarding includes diverse clerical tasks and

Qualifications

• Experience with appeals and denials management.
• Strong attention to detail and organization.
• Proficiency with medical charting software and claims processes.

Responsibilities

• Develops and maintains spreadsheets for tracking and follow up on claims.
• Appeal writing for managed care denials and audits.
• Attention to detail for thorough follow up and timely calls.
• Maintain files with complete documentation and records.
• Utilize computer skills and charting software for patient records
• File, mail, scan, and organize office documents proactively as needed
• Coordinate communications with facilities and staff on claim management
• Able to learn new clerical duties and support various tasks

Skills

Appeal writing

Claims tracking

Detail oriented

Communication skills

Office administration

PDPM knowledge

Job description

CareRite Centers, LLC in Ohio is seeking a Full-Time Nurse to support our Clinical Auditing and Compliance satellite office. The role focuses on writing appeals, following up on audits and denials, and managing claims with attention to accuracy and timeliness.

You will develop tracking spreadsheets, train staff on claim management, and maintain professional communication with facilities. PDPM knowledge is a plus and can be learned on the job; onboarding includes diverse clerical tasks and