[Hiring] QA/Documentation Specialist @Limitlessli

Role Description

The QA/Documentation Specialist is responsible for ensuring the accuracy, completeness, and regulatory compliance of all clinical documentation across the organization. This "No direct patient care" role focuses on supporting chart reviews, obtaining care plans, and gathering documentation needed to establish medical necessity, all in alignment with Medicare/Medicaid requirements, state program rules, and accrediting body standards. Working under the direction of our Ohio-licensed clinical team, the specialist helps maintain high-quality documentation integrity without performing direct patient care or independent clinical decision-making. This position is remote and offers you the flexibility of working from home.

Key Responsibilities

• Regulatory Compliance & Documentation Review
  • 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.
• Quality Assurance Support
  • 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.
  • Follow structured guidelines and established processes under the direction of Ohio-licensed clinicians.
• Team Leadership & Professional Standards
  • 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.
  • Promote a culture of compliance, quality, and continuous improvement within the QA team.
• Confidentiality & Information Management
  • Maintain strict confidentiality and ensure all patient information is handled in accordance with HIPAA and internal safeguards.
  • Ensure secure handling, storage, and sharing of documentation across teams.
• Issue Resolution & Reporting
  • Investigate and escalate documentation-related issues, concerns about clinical performance, or deviations from standards to the Director of Clinical Services.
  • Collaborate with internal teams to resolve documentation discrepancies and ensure timely corrections.

Qualifications

• 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.

Requirements

• Experience working in home care, hospice, or managed care environments (preferred).
• Familiarity with EMR systems, care plans, and clinical documentation workflows (preferred).
• Knowledge of accrediting body standards (e.g., CHAP, Joint Commission) (preferred).

Benefits

• Industry standards applicable to the state depending on work experience and level of expertise.
• Flexible remote working environment.
• Collaboration with an international team.

Essential Requirements

• Reliable computer and noise-cancelling headset.
• Second monitor for enhanced productivity.
• Stable internet connection and a backup internet connection.

Don't miss out on this opportunity – apply now and become a valuable member of the Limitlessli team! If you're interested in what you have read, then we invite you to take the next step and submit your application.

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