Conduct comprehensive clinical documentation and compliance reviews
Evaluate clinical, regulatory, and operational compliance risks during home health and hospice acquisitions
Identify risks affecting reimbursement, compliance, and clinical outcomes
Review and analyze records across multiple EMRs including Homecare Homebase
Generate trending reports and inform leadership decisions
Collaborate with leadership and agency partners to recommend corrective actions
Develop and deliver education and training to agencies
Track common deficiencies and escalate systemic issues to leadership

Minimum 5 years of experience in Home Health and/or Hospice
Strong knowledge of CMS Conditions of Payment and Conditions of Participation
Prior experience with due diligence, compliance, or audit review processes highly preferred
Proficiency in multiple EMRs, including required experience with HCHB
Strong ability to interpret and apply data analytics
High attention to detail with ability to identify patterns, trends, and systemic risks
Proficient in Microsoft Office Suite (Excel, Word, PowerPoint, Smartsheet)

Due Diligence Clinical Review Specialist

Key skills