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Home Health Customer Service After Hours (Remote) in Colombia

Job Summary:
This person is responsible for developing, implementing, monitoring, tracking and reporting on quality assurance projects and quality initiatives for Healthcare patients. This person performs chart review to ensure proper utilization of services to meet patient care needs and regulatory compliance through the use of quality indicators, which are developed in collaboration with the administrative staff.

Responsibilities:
- Maintains a knowledge base of current HIPAA/regulatory/compliance issues
- Review all Medicare episodic clinical records at the local level to assure appropriate documentation for reimbursement. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the care plan, and evidence of communication between disciplines.
- Oversee the maintenance of clinical records and files to comply with Conditions of Participation (COPs), using measurements, as licensure, certification,



and accreditation results.
- Knowledgeable and proficient regarding OASIS data and other needed documentation
- Knowledgeable and adheres to Healthcare policies and procedures.
- Knowledgeable and proficient in the use of computer software programs in use by Gaspy Healthcare.
- Assists and supports staff in reconsideration of denials.
- Conferences with staff as needed regarding documentation and any identified areas of concern in service utilization or regulatory compliance.
- Tracks problems/concerns/weak areas noted in reviews and reports trends and in-service needs.
- Updates supervisor and field staff to trends that are identified in chart review.
- Promotes agency services and programs by participating in public relations efforts or community activities.
- Recognizes limitations and conferences with supervisor/designee as needed.
- Attends and actively participates in staff meetings and assigned comm

Postúlate en Kit Empleo: kitempleo.com.co/empleo/1a91to

📌 Home Health Customer Service After Hours (Bogotá)
🏢 Gaspy Home Health
📍 Bogotá