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The Limitless way to staff and build remote teams
QA Documentation Specialist
Location
Philippines
Posted
59 days ago
Salary
0
Seniority
Senior
Job Description
QA Documentation Specialist
Limitlessli
• Ensure all documentation meets Medicare and Medicaid Conditions of Participation (COPs), accrediting body recommendations, and state program rules and regulations related to care delivery. • Conduct thorough chart reviews to ensure accuracy, completeness, and compliance at all touchpoints of care. • Verify that all required documentation elements are present, timely, and consistent with internal policies and regulatory standards. • Understand the impact of documentation quality on overall care delivery, branch compliance, and financial integrity. • Support the QA team by identifying documentation gaps, trends, and areas for improvement. • Assist in obtaining care plans, physician orders, and supporting documents necessary to establish medical necessity. • Serve as a professional role model for QA Nurse Team Members and other clinical staff by demonstrating high standards of accuracy, cooperation, conduct, and professionalism. • Maintain strict confidentiality and ensure all patient information is handled in accordance with HIPAA and internal safeguards. • Investigate and escalate documentation-related issues, concerns about clinical performance, or deviations from standards to the Director of Clinical Services.
Job Requirements
- Bachelor’s degree preferred (Healthcare Administration, Public Health, or related field) or equivalent experience.
- Experience in healthcare documentation, quality assurance, medical records, or compliance.
- Strong understanding of healthcare regulatory environments (Medicare, Medicaid, state programs) preferred.
- Excellent attention to detail and ability to review large volumes of documentation with accuracy.
- Strong communication, organization, and problem-solving skills.
- Ability to work independently while following structured guidelines and direction from licensed clinical leaders.
Benefits
- Flexible working environment
- Remote work opportunities
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