Clinical Coding and OASIS Review Specialist
RN or LPN
Full Time
Your Choice At Home is an affiliate of Cobble Hill Life Center and a Certified Home Health Agency (CHHA). We're culturally sensitive, and many of our staff come from within the community that they serve. Operating 24 hours, 7 days a week, we offer reliable, dignified care in your own home and specialize in health services, personal care, and champion services.
The Oasis Reviewer and Documentation Specialist plays a crucial role in ensuring the accurate coding and review of nursing assessments (SOC / ROC / Recert) and 485 data in accordance with Centers of Medicare and Medicaid (CMS) and Department of Health regulations.
What's in it for you?
- Fully remote position
- 10% of salary employer contribution retirement plan with a 3-year vesting schedule
- Generous medical, dental, vision, and life insurance coverage
- Employer contribution toward medical deductible (effective day 1 of employment)
- Generous PTO package including holiday, sick, vacation and personal days (including your birthday!)
Key Tasks Include :
Perform comprehensive home health documentation reviews within multiple EMR systems; reviews will focus on coding and OASIS accuracy in accordance with regulatory requirementsReview clinical OASIS (SOC / ROC / Recert assessments) and 485 data to ensure accuracy, appropriateness, congruency, completeness, and compliance with federal and state regulations and client policyEnsure appropriate ICD-10 coding and sequencing as it relates to the patient's medical conditionPerform final review and lock OASISCommunication with service offices monthly and as appropriate with a focus on documentation trends, star ratings and potential revenue impactPrevent or decrease the occasion of Medicare denials by assuring proper coding on the plan of care and accurate OASIS documentationAct as a resource for clinicians as it relates to OASIS, coding, and PDGM guidelinesCommunication with service offices monthly and as appropriate with a focus on documentation trends, star ratings and potential revenue impact.Work closely with the CHHA's interdisciplinary team, including nursing staff, social workers, and administrators, to coordinate admissions and provide comprehensive care to patientsMaintain knowledge of regulations governing Medicare / Medicaid / Managed Care reimbursement processesPosition Requirements Include :
Graduate of an accredited school of nursingLicensed as an RN or LPN in the State of New YorkHCS-D pr BCHH-C Home Health Care Coding certification requiredOASIS (COS-C / HCS-O / COQS) certification required SHP experience a plus!2 years of recent home health coding and OASIS review experienceBackground in a management, operations, or quality assurance role within a home health agency preferredExtensive knowledge of CMS home health regulations including OASIS, coding and plan of care requirementsAdvanced computer skills with experience with one or more EMR systemsMust have a designated workspace free from noise and distractionJob Posted by ApplicantPro
Salary : $75,000 - $90,000
