Certified Home Health Coder & QA Specialist

Job Description

Job Description

Certified Home Health Coder & QA Specialist

Become a part of the Hope At Home Family!

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