Documentation Compliance Coordinator
Job Description
JOB DETAILS
REQUIREMENTS
- Experience in healthcare administration, records management, scheduling, or billing preferred.
- Knowledge of home health documentation or Medicare guidelines is a plus.
- Strong attention to detail with the ability to manage multiple priorities.
- Excellent professional communication and follow-up skills.
- EMR experience preferred (WellSky, AxisCare, or similar).
- Must comply with required continuing education including Corporate Compliance and OSHA/Infection Control. Additional education may be requested to support performance goals.
RESPONSIBILITIES
- Reviews incoming documentation for completeness and accuracy according to established guidelines.
- Prepares PCR submissions within required time frames and payer rules.
- Follows up promptly with team members to resolve missing or incorrect documentation.
- Tracks F2F documentation from referral to receipt of signed provider certification.
- Confirms encounter details support homebound status and skilled service requirements.
- Contacts physician offices to secure corrections or required signatures.
- Uploads all required documents accurately to the EMR.
- Monitors outstanding items and communicates priorities to appropriate personnel.
- Assists with audits, billing validation, and documentation requests.
- Works closely with Intake, Scheduling, Billing, Community Care Coordinators, and Clinical leadership to support documentation workflow.
- Communicates professionally and proactively with Community Care Coordinators to clarify documentation needs and resolve concerns impacting care.
- Maintains positive, effective communication with physician offices and referral partners to support timely submission of required forms.
- Provides internal updates with clear expectations and next steps.
- Ensures documentation practices align with Medicare, payer, and internal policies.
- Maintains strict confidentiality in compliance with HIPAA.
- Identifies and addresses potential documentation risks or trends.
- Participates in meetings, training, and workflow updates as assigned.
- Partners with Community Care Coordinators to improve communication efficiency and prevent delays caused by missing paperwork.
- Supports quality improvement initiatives that enhance documentation performance.
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