Clinical Administrative Assistant

• Review nursing documentation submitted by AOM nurses and contracted agency partners for accuracy, completeness, compliance, and billing readiness.
• Ensure clinical documentation meets AOM standards, payer requirements, accreditation standards, and regulatory guidelines.
• Identify documentation deficiencies, omissions, inconsistencies, or missing required elements and communicate corrective measures to clinicians.
• Monitor and track outstanding documentation corrections to ensure timely completion.
• Approve documentation once all quality and compliance requirements have been met.
• Conduct audits of patient medical records to ensure complete and accurate clinical documentation.
• Identify documentation trends and recurring deficiencies and communicate opportunities for education and process improvement.
• Participate in the company’s Quality Assurance Program and support continuous quality improvement initiatives.
• Maintain confidentiality of all patient information in accordance with HIPAA regulations and company policies.

• Provide backup coverage for Clinical Intake Coordinator during high volume days as well as during planned and unplanned absences.
• Review medical documents/information pertaining to the patient’s diagnosis, health history, and medication ordered as required by the patient’s insurance carrier to determine the “medical necessity” of the prescribed therapy.
• Effectively communicates with sales, clinical team, patients and family.
  • Acts as primary liaison between branch personnel and referral sources during patient intake process.
  • Responsible for communicating sales related concerns and referral source or patient complaints to management.
• Ensure timely authorization process for services from the patient’s insurance carrier and the timely communication of insurance information to management, clinical and sales teams. 
  • Review physician’s letter of medical necessity and other medical information as required by the patient’s insurance carrier to determine the “medical necessity” of the prescribed therapy.
  • Maintain accurate referral and patient information within company systems.
• Collaborate with intake, pharmacy, nursing, and scheduling teams to facilitate seamless patient transitions into care.

• Support AOM Infusion’s ongoing compliance with ACHC accreditation standards.
• Maintain working knowledge of ACHC standards, home infusion regulations, and documentation requirements.
• Assist with accreditation preparation activities, audits, and corrective action initiatives.
• Promote adherence to company policies, procedures, and regulatory requirements.
• Participate in departmental meetings to discuss workflow priorities, documentation concerns, and operational initiatives.
• Effectively communicate with internal departments, referral sources, agency partners, providers, patients, and caregivers as appropriate.
• Provide clinical and operational support to nursing, intake, pharmacy, and administrative teams.
• Perform additional duties and special projects assigned by leadership.

• Assist with the preparation, review, tracking, and management of Detailed Written Orders (DWOs).
• Follow up with providers, internal departments, and external partners to obtain required signatures and documentation.
• Monitor DWO workflows to ensure timely completion and compliance with payer requirements.
• Collaborate with Clinical Care Navigators, Intake, Pharmacy, and Nursing Leadership to resolve order-related issues.
• Support process improvement initiatives related to physician orders and documentation management.

• Active LVN/LPN (no RN License) license is currently registered in state working in and in good standing with the Board of Nursing.
• Healthcare experience in home infusion, home health, specialty pharmacy, case management, clinical operations, or a related field with knowledge of regulatory requirements.
• Strong understanding of clinical documentation standards and healthcare compliance requirements.
• Excellent organizational skills and attention to detail.
• Effective verbal and written communication skills.
• Ability to manage multiple priorities and meet established deadlines.
• Proficiency with electronic medical records and Microsoft Office applications.
• Knowledge of ACHC and URAC standards.

BENEFITS: