Job Overview
Location
Dallas, Texas, United States
Job Type
Full-time
Category
Software Engineering
Date Posted
June 22, 2026
Full Job Description
đź“‹ Description
- • Support payer audits and medical record reviews by ensuring timely and accurate submission of requested clinical documentation.
- • Manage medical review requests and appeals from CMS contractors, regulatory agencies, and billing intermediaries.
- • Review clinical documentation using established audit and submission checklists to ensure regulatory compliance.
- • Partner with operational and clinical teams to gather, validate, and coordinate required patient records for audits and compliance initiatives.
- • Participate in chart reviews and internal compliance monitoring activities across home health and hospice operations.
- • Assist with risk identification and regulatory readiness efforts to prevent non-compliance and support audit preparedness.
- • Support investigations and corrective actions related to compliance findings, ensuring appropriate documentation and resolution.
- • Maintain audit tracking and outcomes through dedicated documentation systems and reporting tools.
- • Navigate multiple electronic medical records (EMRs), payer portals, and operational systems to manage submissions, appeals, and record retrieval.
- • Contribute to the development and delivery of training and educational materials to strengthen compliance knowledge across clinical and operational teams.
- • Participate in internal quality, billing, and operational review activities to align clinical documentation with regulatory standards.
- • Complete additional regulatory and administrative projects as assigned by the Clinical Regulatory Compliance team.
🎯 Requirements
- • Current Registered Nurse (RN) license or Licensed Practical Nurse (LPN) license
- • Minimum 3 years of clinical operational leadership or supervision experience within Home Health and/or Hospice
- • Strong knowledge of CMS Home Health regulations and state/federal licensing standards
- • Experience performing clinical chart reviews and documentation audits
- • Ability to independently prioritize and manage work in a remote environment
- • Strong technical skills and comfort navigating multiple systems and portals
🏖️ Benefits
- • Medical, Dental, and Vision coverage
- • 401(k) with company match
- • Generous paid time off
- • Pharmacy benefits
- • Virtual care and mental health support
- • Tuition and continuing education reimbursement
Skills & Technologies
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About VitalCaring Group, LLC
VitalCaring Group is a leading provider of home healthcare services, offering a comprehensive range of solutions designed to support individuals in maintaining their independence and quality of life within the comfort of their own homes. The company specializes in post-acute care, personal care, and chronic condition management, employing a team of skilled nurses, therapists, and caregivers. VitalCaring Group partners with hospitals, physicians, and other healthcare providers to ensure seamless transitions of care and personalized treatment plans. Their services aim to reduce hospital readmissions, improve patient outcomes, and provide peace of mind to families by delivering compassionate and reliable healthcare support.
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