Compliance Reviewer at WellSky

Senior Medical Coder

Compliance Reviewer at WellSky

Remote, US

March 12, 2022

The Sr. Medical Coder/Compliance Reviewer performs home health and hospice compliance audits to selected agencies. Reviews all documentation to ensure it follows Medicare guidelines/regulations and Conditions of Participation. While primarily working the weekday shift, evening, weekend and/or holiday coverage may be required to meet client contractual requirements.

This position requires the ability to make independent decisions regarding accurate compliance audits.


You will be responsible for the following:

  • Identify, review, interpret charts to ensure they meet Medicare Regulations

  • Identify areas that do not meet compliance with Regulations and CoPs and what a client can do to remedy the inaccuracy.

Required Experience:

  • Must be a Registered Nurse with home health and/or hospice experience

  • Excellent communication

  • Strong analytical skills

  • Superior attention to detail

  • Ability to quickly learn and efficiently navigate electronic medical records

  • ICD-10 Home Health Coding Certification (BCHH-C, HCS-D)

Preferred Experience:

  • Current Knowledge of home care and hospice Conditions of Participation

  • Current Knowledge of home care and hospice Regulations

  • OASIS Certification (HCS-O, COS-C, COQS)