Certified Home Health Coder & QA Specialist

HOPE At Home Health Care; Southfield (MI); On-site; USD 50,000 - 70,000; Full time

Job summary

A leading health care provider is seeking a Certified Home Health Coder & QA Specialist to join their team in Southfield, Michigan. The ideal candidate will be responsible for coding medical records, reviewing OASIS data, and ensuring conformity with guidelines, while contributing to a cooperative environment in the dynamic health care field. Applicants must possess a strong background in coding, knowledge of medical terminology, and effective communication skills.

Qualifications

• Certification in Home Health Coding is required.
• 2 years experience with ICD-10 coding needed.
• Proficient in OASIS is preferred.

Responsibilities

• Code records using ICD-10-CM and guidelines.
• Review OASIS for data accuracy.
• Provide coding recommendations based on documentation.

Skills

ICD-10 coding

OASIS knowledge

Medical terminology

Analytical skills

Interpersonal skills

Education

High school diploma

Registered Nurse License (Michigan)

College degree in nursing or healthcare

Job description

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 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

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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