The Role :
- Ensure records are complete before coding and defensible before submission.
- Act as the final quality gate, validating accuracy, compliance, and audit readiness of every chart.
- Identify and close documentation gaps, preventing incomplete records and protecting claim integrity.
What You Will Own – Your Responsibilities :
- Documentation review — validating records against DME, Medicare, and payer standards using structured formats (SOAP)
- Compliance verification — identifying missing, incomplete, or non-compliant documentation before Coding
- Gap resolution — coordinating with clinical, coding, and EDI teams to close documentation gaps
- Order & shipment tracking — tracking DME orders from confirmation to delivery and resolving mismatches
- Audit support — conducting documentation audits and ensuring compliance readiness
- Trend reporting — identifying recurring documentation issues and driving corrective actions
Non-Negotiable Metric :
- Documentation Accuracy Rate ≥ 98%
- Percentage of records that pass compliance review without rework or escalation
What You will Fight:
- The Incomplete Record
- We fight documentation that cannot defend itself.
- The enemy is:
• Missing or vague clinical details
• Non-compliant records that fail payer standards
• Documentation gaps passed downstream without correction - On the CDI team – no record moves forward unless it can stand up to an audit.
WHO THRIVES HERE :
- You fix problems before they exist — You stop errors before they reach Coding
- You document with precision — Every detail matters, and nothing is assumed
- You own the standard — High volume never compromises compliance
THE WWS PERKS :
- Full training in DME documentation standards and compliance frameworks
- Clear role identity with measurable quality metrics
- Direct impact on Coding, Charges, and ARM performance
- Cross-functional exposure across the revenue cycle
- A culture that values prevention over correction
Qualifications:
- Experience: 1+ Years of experience in any field
- Education: Any Graduate (Life Sciences preferred)
- Knowledge: Basic understanding of medical documentation / compliance
- Attention to Detail: High accuracy in reviewing records
- Communication: Clear coordination and documentation skills
Contact us on recruiter@wonderws.com / 9047477375
To Apply: https://careers.wonderws.com
