Role Overview:
We are looking for a strong, experienced RN to support clinical documentation quality, compliance, and audit readiness. This is not a basic chart review role—we need someone with strong critical thinking who can identify documentation gaps, potential audit risks, and ensure records support billing and medical necessity.
Key Responsibilities:
• Review charts for completeness, accuracy, and compliance
• Verify required elements (rendering provider, signatures, dates)
• Identify documentation gaps and return charts for correction
• Perform pre-billing quality checks (no independent coding changes)
• Assist with audit readiness (organizing and retrieving records)
• Communicate professionally with providers and partner facilities
Important Compliance Notes:
• This role does not provide patient care or make treatment decisions
• This role does not independently assign or change billing codes
• All documentation corrections must be completed and signed by the rendering provider
Requirements:
• Active RN license
• Experience in SNF, home health, wound care, or clinical documentation review preferred
• Strong attention to detail and understanding of documentation requirements
• Experience with EHR systems (NextGen preferred)
Pay: $36.00 - $40.00 per hour
Benefits:
• Flexible schedule
Work Location: Remote
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