What are the responsibilities and job description for the Coder/OASIS Reviewer position at Namaste Home Health and Hospice?
JOB SUMMARY Responsible for analyzing data integrity and consistency of documentation and assessment processes. This position will ensure appropriate coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues. DUTIES & RESPONSIBILITIES Prospectively reviews all coding to ensure appropriateness, completeness, and compliance with federal and state regulations and Preceptor Home Health & Hospice Utilizes variation or alert reports when reviewing data. Ensures appropriate coding and sequencing as it relates to the patient’s medical condition, including any co-morbidities. Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per Preceptor Home Health & Hospice Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the Clinical Supervisor/designee. Notifies Preceptor Home Health & Hospice leadership team of problematic trends as a result of review. Works with managers to address trends that affect the agency’s outcome and process measures noted during review. Participates in Quality Improvement and Corporate Compliance activities as assigned. Assists with other chart audit activities as assigned. Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) 2-5 years of clinical home health experience required. Working knowledge of coding. Coding certification preferred. Knowledge of federal regulations and state licensure requirements. Working knowledge of computer systems. Licensed driver with automobile that is in good working order and insured in accordance with Preceptor Home Health & Hospice requirements. Excellent coordination and communication skills. Detail oriented and able to work with minimal supervision. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com. Namaste Home Health Hospice is a Medicare and Medicaid certified home healthcare and hospice agency that has been serving the greater Denver area since 1998. At Namaste Home Health Hospice, we believe that choice always exists and that excellent quality of life is always attainable. Whether we’re caring for a senior after a surgery, supporting a patient’s family member cope with grief, or supporting a loved one with a serious illness, our team will seek to provide care that exemplifies truly Life Changing Service. We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.
