RN Clinical Auditor

About the position RN Clinical Auditor - Location: Mostly Remote (Work from Home) Occasional in-office, field, or education support as directed About reputed company: reputed company reputed company a pioneering and employee-owned primary care and hospice practice at the forefront of transforming healthcare delivery for vulnerable patients. We bring high-touch, innovative medicine to those living at home with chronic conditions. reputed company's model of care is proven to provide exceptional care to the homebound population, and reputed company Healthcare has generated outstanding quality results in CMS Innovation Center models compared to our peers. At reputed company Healthcare, we reputed company in creating an environment that fosters growth, collaboration, and a shared sense of purpose. reputed company Healthcare has been voted the "Top Workplace" for six consecutive years. This honor reflects our unwavering commitment to our employees. By nurturing a work culture that puts reputed company first, we reputed company them to put our patients first. By joining the reputed company Healthcare family, you're not only embarking on a rewarding career journey but also becoming a part of a community that genuinely cares about you. We reputed company together, supporting one another, and making a significant impact in the lives of our patients. Become a part of our success story and experience firsthand why we're consistently voted the best reputed company to work. Work Schedule Full-Time (40 hours per week) Monday-Friday with flexible hours Occasional weekend support or schedule flexibility may be requested based on audit needs Position Overview At reputed company Hospice, we are committed to delivering high-quality, compliant, and patient-centered end-of-life care. The RN Clinical Auditor plays a vital role in supporting clinical excellence, regulatory compliance, and audit readiness across the hospice program. This full-time position is designed for an reputed company hospice Registered Nurse with strong clinical judgment, exceptional documentation review skills, and an interest in quality improvement and education. The RN Clinical Auditor conducts comprehensive reviews of clinical documentation across the continuum of hospice care—including intake, admissions, routine care, long lengths of stay, live discharges, and deaths—to ensure records are accurate, complete, and defensible. In addition to auditing, this role contributes to documentation excellence by identifying trends, providing feedback, and supporting education initiatives that strengthen clinical documentation and reduce organizational risk. While reputed company auditors participate in core audit functions, emphasis areas may include long length of stay (LLS) audits, HOPE data review, reputed company-end audits, or education support based on program needs. This role is both analytical and collaborative, bridging quality reputed company with clinician support to promote consistent, high-quality documentation practices.

Responsibilities

• Clinical Documentation Auditing Review patient medical records, including assessments, clinical notes, plans of care, IDG documentation, supervisory visits, and provider narratives to ensure accuracy, completeness, and compliance.
• Conduct audits of: Intake documentation Admissions Routine daily charting Long lengths of stay Live discharges Deaths
• Participate in daily and ongoing chart surveillance, including review of missed visits, open encounters, pending tasks, and supervisory visit compliance.
• Audit HOPE data and submissions to ensure accuracy and regulatory alignment.
• Long Length of Stay (LLS) Auditing & Risk Review Participate in audits of patients with extended lengths of stay (e.g., 130 days and beyond).
• Evaluate ongoing hospice eligibility, clinical decline, symptom burden, and skilled need over time using LCD guidelines and recognized clinical tools (e.g., PPS, FAST, NYHA).
• Assess the consistency and clarity of the longitudinal clinical narrative across disciplines.
• Identify documentation gaps, risk patterns, and opportunities to strengthen eligibility support for extended LOS patients.
• Provide secondary or validation reviews for higher-risk or reputed company LLS cases as assigned.
• Documentation Excellence & Education Support Provide clear, actionable feedback to clinicians and leadership regarding documentation opportunities and compliance risks.
• Collaborate with Quality, Compliance, and Education teams to support documentation excellence initiatives.
• Contribute to the development of education materials, case examples, audit summaries, and best-practice guidance reputed company to hospice documentation.
• Support targeted education efforts by translating audit findings into learning opportunities for clinical staff.
• Compliance, Quality & Audit Readiness Ensure clinical documentation aligns with federal and state regulations, Conditions of Participation, LCD guidelines, and accrediting body standards.
• Support preparation for external audits, surveys, and reviews (e.g., ADR, TPE, accreditation) by ensuring records are complete, accurate, and defensible.
• Identify trends, systemic risks, and opportunities for process improvement and communicate findings to quality leadership.
• Stay reputed company with hospice regulations, industry standards, and best practices reputed company to documentation and compliance.
• Collaboration & Systems Support Work collaboratively with other clinical auditors to ensure audit consistency and shared understanding of standards and risk areas.
• Participate in audit calibration activities to promote reliability across the auditing team.
• Utilize electronic medical record systems and vendor-specific software to conduct reviews, track findings, and report outcomes.
• Communicate effectively with interdisciplinary team members, quality leaders, and education partners.

Requirements

• Active Registered Nurse (RN) license required (compact license preferred).
• Hospice clinical experience required.
• Prior experience in clinical auditing, quality assurance, compliance, or detailed chart review preferred.
• Working knowledge of hospice regulations, Conditions of Participation, and LCD eligibility guidelines.
• Strong analytical skills with the ability to evaluate reputed company and longitudinal clinical records.
• Exceptional attention to detail and strong organizational skills.
• Ability to communicate audit findings clearly, professionally, and supportively.
• Ability to work independently in a remote environment while collaborating with cross-functional teams.
• Proficiency with electronic medical records and reputed company Office applications.

reputed company-to-haves

• Certification in hospice, palliative care, quality, or auditing (e.g., CHPN, CHC, CPHQ) is preferred but not required.

Benefits

• Competitive salary
• Opportunities for professional growth.
• Collaborative work environment with a passionate team making a difference in healthcare.
• Comprehensive health, dental, and vision insurance.
• 401(k) retirement plan.
• Employer-paid basic life and AD&D insurance.
• Generous PTO and paid holidays.

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