JOB SUMMARY
The Audit & Documentation Review Coordinator is a developmental role within the Denials Management Team. This position is designed for individuals who are eager to learn and grow into audit coordination, clinical documentation review, and regulatory support functions. The coordinator will rotate through various responsibilities to gain a working knowledge of Medicare audits, Home Health and Hospice documentation standards, appeal workflows, and data monitoring. This role supports the team while building the foundation to eventually perform independent reviews and contribute to process improvements.
DUTIES & RESPONSIBILITIES
- Support the Denials Management Team in the preparation and coordination of audit responses.
- Assist in reviewing clinical documentation to identify completeness and alignment with regulatory standards.
- Collaborate with team members to submit documentation requests and communicate with agency staff.
- Participate in cross-training to understand each role within the Denials Management workflow.
- Shadow clinical and audit reviewers to learn pre-billing and post-payment review processes.
- Assist in tracking audit activity, outcomes, and documentation requests using internal systems.
- Support data entry and audit tracking processes across Smartsheet, Excel, and other platforms.
- Attend educational meetings and assist in summarizing key trends or takeaways.
- Help identify opportunities for process improvement based on audit trends and team feedback.
- Promote CAPLICO values and support a collaborative, quality-driven culture.
JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)
- Registered Nurse or related licensure highly preferred.
- Strong sense of autonomy and confidence when working independently but will also be a team player.
- Demonstrates initiative in researching and resolving issues.
- Able to discern areas in need of continued improvement.
- Background in healthcare or administrative support preferred; clinical experience a plus but not required.
- Interest in Home Health and Hospice compliance, audits, or documentation standards.
- Strong attention to detail and willingness to learn technical language and regulatory requirements.
- Comfortable navigating systems like Microsoft Office (Excel), Smartsheet, and PDF tools.
- Demonstrated initiative, adaptability, and ability to follow through on assigned tasks.
- Clear communication skills—written and verbal.
- Ability to take feedback constructively and grow within a structured, team-based environment.
- Strong organizational skills and ability to manage multiple assignments during training.
- Self-starter with curiosity and a growth mindset.
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at .