We currently have a position available for a Certified Home Health Coder & QA Specialist.
Position Summary:
Certified Home Health Coder & QA Specialist is required to have PDGM, Oasis D1 experience, and Kinnser software knowledge. Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of skilled service visits. The position is also responsible for reviewing OASIS and abstracting visit data for billing and data collection purposes.
Responsibilities:
Codes records using ICD-10-CM and coding guidelines.
Reviews OASIS.
Observes and report unusual patterns in data collection and/or lack of adequate documentation for code assignments.
Review documentation and provide ICD-10 coding recommendations based on current coding and Oasis guidelines.
Performs other related duties as requested by the Home Health Supervision
Must be self-motivated, responsive, and committed to communicating with the management/supervisor closely via high-tech communication modules.
Qualification:
Certification in Home Health Coding required
Proficient knowledge of Oasis preferred.
Registered Nurse, preferred.
Working knowledge of CMS Condition of Participation in Home Health Services is required.
Working knowledge of federal and state home health licensure regulations is required.
Knowledge of medical terminology, anatomy and physiology, compliance, and reimbursement guidelines are required.
Sound computer skill and adaptability to home health documentation software is a must.
Detail-oriented with critical thinking and strong analytical skills are required.
The ability to demonstrate flexibility in response to unexpected changes in work volume and work schedule are required.
Excellent interpersonal relation skills including active listening, conflict resolution, and team building are required.
A minimum of two years of previous experience with ICD-10 and/or ICD-9 coding with verified employment/experience are required.
Education:
A high school diploma is required, and a college diploma is preferred.
Completion of coding specific coursework required
Certifications:
Certified in Home Health coding, required.
Medical Coding: 5 years
ICD-10: 2 years
General Requirements:
The ideal candidate must possess the following characteristics:
Commitment and reliability; be able to dedicate consistent time to HIA
Superb communication and responsiveness
Computer literacy
Must be comfortable with, but not limited to Excel, web-browsers, email, electronic health records (non-specific)
Must be familiar with various technologies such as, but not limited to: security (e.g., Citrix), data collection/abstraction, encoders, web-based applications
Self-maintenance of skillset
Maintaining credentials
Staying current with abstraction/coding rules, manuals, and guidelines
Prior experience in position applying for
Strong interpersonal skills and tactfulness to be able to effectively communicate with team members and client contacts
Educational Requirements:
The ideal candidate must possess:
Registered Nurse License in Michigan
A college degree from
An accredited nursing program, or
Other accredited healthcare programs
Healthcare credentials associated with their program of study
Other healthcare information related abstraction and coding credentials are desirable
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