Certified Home Health Coder & QA Specialist
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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 responsivenessComputer 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