[Remote] Experienced ADR & TPE Auditor (Home Health & Hospice) RN Required

Remote, USA Full-time
Note: The job is a remote job and is open to candidates in USA. Hart Healthcare Solutions is an RN-owned and operated home health and hospice consulting firm focused on providing a personal partnership approach. They are seeking an experienced RN auditor to review ADR/TPE requests, evaluate charts, and communicate findings to agency leadership while maintaining compliance standards. Responsibilities • Review ADR/TPE requests, evaluate charts, and identify documentation gaps and risks • Prepare clean, organized packets that address denial reasons and support eligibility • Communicate findings and recommendations clearly to agency leadership • Maintain Medicare-aligned standards while respecting each agency’s workflow • Partner directly with clients to support quality, compliance, and operational integrity Skills • RN with at least 5 years of hospice and/or home health experience • Experience managing and responding to ADRs, TPEs, and denials • Strong chart review and documentation quality skills • Ability to evaluate eligibility, coverage, F2F, terminality support, and documentation gaps • Working knowledge of Medicare/MAC requirements and audit expectations • HIPAA-sensitive work with strict privacy and confidentiality expectations • Password-protected computer and secure home internet required • Contractor provides and maintains their own equipment, software, and workspace • Flexibility for deadlines and possible evening and weekend work (make your own schedule) • Familiarity with Connex, iQIES, Palmetto/NGS • EMR experience with Firenote, HCHB, WellSky, Axxess, Careficient/Optima • Experience assembling appeals or addressing denial reason codes Company Overview • Hospice and post-acute clinical quality, regulatory compliance and operational efficiency consultants. It was founded in 2019, and is headquartered in Tennessee, US, with a workforce of 2-10 employees. Its website is Apply tot his job
Apply Now

Similar Jobs

Healthcare Consultant I - Melbourne or Palm Bay, FL

Remote, USA Full-time

REMOTE Healthcare Data Analyst

Remote, USA Full-time

Senior Database Engineer at Abax Health

Remote, USA Full-time

Senior Medical Promotional Review Consultant – RN, Clinical Experience, PT Anywhere

Remote, USA Full-time

Director, Hotel Level Marketing - Creative Strategy

Remote, USA Full-time

Principal Database Administrator, Healthcare

Remote, USA Full-time

Healthcare Process Risk Manager

Remote, USA Full-time

[Remote] Research Scientist Intern (ML System) - 2026 Start (PhD)

Remote, USA Full-time

Internship - Private and Secure Agentic AI

Remote, USA Full-time

Data Administrator

Remote, USA Full-time

Behavioral Health Specialist Requires LMSWC LPC or LMFT

Remote, USA Full-time

CMC Regulatory Affairs Senior/Consultant - Small Molecules

Remote, USA Full-time

Experienced Bilingual Customer Service Representative – Japanese and English Language Support Specialist for Unique Online Marketplace

Remote, USA Full-time

Remote Transcription Jobs – Beginners & Freelancers

Remote, USA Full-time

Privileged Access Management Governance Anayst, Assistant Vice President

Remote, USA Full-time

**Experienced Customer Service Representative – Remote Work Opportunity with arenaflex**

Remote, USA Full-time

Apply Now: Data Entry No Experience, Aetna Insurance Jobs For

Remote, USA Full-time

Experienced Online Data Entry Assistant (Teens) – Empowering Young Talents at blithequark

Remote, USA Full-time

Team Lead/ Scrum Master – Software Development (Remote) in USA

Remote, USA Full-time

Senior Public Health Analytics Consultant job at BME Strategies in US National

Remote, USA Full-time
Back to Home