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Clinical Quality Auditor
Elara Capital. Perform comprehensive audits within skilled home health, hospice, and behavioral health agencies .
Posted 9/15/2026full-timeRemote • Texas • United StatesMid-LevelSenior💰 $80,000 - $85,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in auditing within skilled home health, hospice, and behavioral health agencies, ensuring compliance with Medicare and Medicaid regulations while maintaining high-quality outcomes. Proficient in ICD-10 coding, OASIS, and clinical documentation with strong organizational and project management skills.
Highest-signal resume keywords
Registered Nurse LicenseCertified Homecare Coding SpecialistCertified OASIS Specialist-ClinicalICD-10 CodingQuality Assurance Reporting
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
ICD-10 CodingOASISValue Based PurchasingClinical DocumentationAuditing
Soft Skills
Good Communication SkillsOrganizational DevelopmentProject Management
Certifications & Qualifications
Associate Degree in NursingRegistered Nurse LicenseCertified Homecare Coding SpecialistCertified OASIS Specialist-ClinicalCertified HOPE Specialist-Clinical
Industry Keywords
Home HealthHospiceBehavioral HealthMedicare RegulationsMedicaid Regulations
About the role
Key responsibilities & impact- Perform comprehensive audits within skilled home health, hospice, and behavioral health agencies
- Ensure compliance with Medicare and Medicaid regulations
- Audit ICD-10 coding, OASIS, Value Based Purchasing (VBP), Care Compare, and clinical documentation
- Support quality outcomes and keep healthcare teams operational
- Report to the Manager of Quality Assurance
Requirements
What you’ll need- Associate degree in Nursing is required
- 3 years of experience as a Registered Nurse in home health and/or hospice
- Current state license as a Registered Nurse
- Certified Homecare Coding Specialist (HCS-D or HCS-H), or willing to obtain within 6 months
- Certified OASIS Specialist-Clinical (COS-C), or willing to obtain within 6 months, as applicable
- Certified HOPE Specialist-Clinical (CHS-C), or willing to obtain within 6 months, as applicable
- Good communication skills both written and verbal
- Proven organizational development and project management skills
- Working knowledge of regulations and reimbursement in home health, hospice, and behavioral health
- Ability to maintain confidentiality of sensitive financial, clinical, and operational information
Benefits
Comp & perks- Competitive compensation package
- Tuition reimbursement for full-time staff
- Continuing education opportunities for all employees at no cost
- Opportunities for advancement
- Comprehensive medical, dental, and vision insurance plans
- 401(K) with employer match
- Paid time off
- Paid holidays
- Family and pet bereavement leave
- Pet insurance