HC QA-Coding Review Clinician
1 week ago
The Home Care Quality Assurance and Coding Review Clinician is responsible for assisting the PI Manager in ensuring excellent clinical outcomes and accurate HHRG Coding. This position performs reviews of OASIS assessment and 485 for completeness and accuracy with coding based on ICD and CPT classification systems. In addition, this position is responsible for abstraction of patient records according to coding requirements and procedures, utilizing SHP as a tool to review Coding and OASIS inaccuracies and make recommendations for changes.
RESPONSIBILITIES:
- Reviews all admissions, discharges, and recertifications where appropriate.
- Correctly codes diagnoses and procedures on all admissions using ICD-9(10) coding.
- Compares chart documentation with Oasis documentation and ensures that coding and OASIS documentation follows all federal & state regulations.
- Works with the Team Managers and PI Manager in conducting chart audits flagged for coding and OASIS accuracy issues.
- Performs quality improvement measures and utilization review of medical records under the supervision of the PI Manager.
- Functions as needed for all locations and participates in quality improvement projects.
- Audits medical records and provides reports based on coding and documents results as needed.
- Completes comprehensive order review and advises if corrections are needed to field staff.
- Performs other duties as assigned.
QUALIFICATIONS / REQUIREMENTS:
Experience:
Minimum of 5 years field experience. Proficient with Coding, OASIS, and Home Health Prospective Payment System (PPS).
Education:
Bachelor’s degree from an accredited School of Nursing, Physical Therapy, or Occupational Therapy.
Licenses / Certifications:
Currently licensed as a Registered Nurse, Physical Therapist, or Occupational Therapist in the state of New York.
Other:
If applicable, the individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials. Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.
-
HC QA-Coding Review Clinician
1 week ago
West Nyack, United States Good Samaritan Hospital Full timeThe Home Care Quality Assurance and Coding Review Clinician is responsible for assisting the PI Manager in ensuring excellent clinical outcomes and accurate HHRG Coding. This position performs reviews of OASIS assessment and 485 for completeness and accuracy with coding based on ICD and CPT classification systems. In addition, this position is responsible...
-
2nd shift Fulfillment Associate
2 weeks ago
West Chester, United States HC Brands Full timeJob DescriptionJob DescriptionDescriptionHC Brands specializes in customizing and selling thousands of products that help our customers make connections. We are a fast, profitable, growing ecommerce company that markets ourselves through a wide range of ecommerce channels and marketplaces. We take pride in offering products that are unique and that help each...
-
RN Utilization Review Specialist Full Time
4 weeks ago
Nyack, United States Nyack Hospital Full timeThe Utilization Review Specialist comprehensively plans with the health care team to ensure patient needs are met and care delivery is coordinated across the continuum of the various managed care systems. Will regularly collaborate with Physicians and peers regarding service barriers that may need further followup. Identifies and works to eliminate/minimize...
-
QA SUPERVISOR
4 weeks ago
West Point, United States Peco Foods Full timeEssential Job Functions/Duties: Performs microbiological and other quality assurance tests. Assures accuracy of testing with quality assurance lab checks and known standard comparisons. Promotes (GMP) good manufacturing practices and HACCP compliance. Assists QA technician in contacting, performing test for and reporting of results to outside lab clients and...
-
QA Document Coordinator
2 weeks ago
West Chester, United States Resilience Full timeA career at Resilience is more than just a job – it’s an opportunity to change the future. Resilience is a technology-focused biomanufacturing company that’s changing the way medicine is made. We’re building a sustainable network of high-tech, end-to-end manufacturing solutions to better withstand disruptive events, serve scientific discovery, and...
-
Quality Assurance Clinician
4 weeks ago
West Springfield, United States Northeast Family Services Full timeJob DescriptionJob DescriptionNortheast Family Services is seeking an experienced, masters-level professional to join our growing Massachusetts team as a Quality Assurance Coordinator! The Quality Assurance Coordinator is responsible for supporting the Quality Assurance Manager in implementing and monitoring NFS’s quality assurance program. They will...
-
Automation QA Lead with Expertise in Testing
2 weeks ago
West Des Moines, Iowa, United States The Dignify Solutions LLC Full timeJob Title: QA Test LeadCompany: The Dignify Solutions LLCProven experience in developing SQL scripts utilizing PostgreSQL and Oracle databases for ETL processesExtensive background in data warehouse testing with superior SQL capabilitiesFamiliarity with Selenium automation frameworks using Python is advantageousPreference for candidates with experience in...
-
Healthcare Coding Specialist
2 weeks ago
West Palm Beach, Florida, United States Dane Street, LLC Full timeJob OverviewDane Street, LLC is on the lookout for dedicated professionals in the field of medical coding and billing. We invite experienced Coders, bill reviewers, and payment integrity specialists to become part of our dynamic team. Our organization prides itself on providing a stimulating work atmosphere, competitive remuneration, and significant...
-
QA Test Lead with Automation Experience
4 months ago
West Des Moines, United States The Dignify Solutions LLC Full timeHands-on experience in creating SQL scripts using postgre and oracle DB based ETL mapping documents Data warehouse testing experience Must have very strong SQL skills. Having hand on experience on Selenium -python Automation will be added advantage Selenium automation using Python language is preferred. Experience working in Life insurance domain...
-
Behavioral Health Clinicians
3 months ago
West Haven, United States Shoreline Wellness Center Full timeJob DescriptionJob DescriptionDue to our continuous growth, we are looking for additional fully licensed or provisionally licensed (LCSW, LPC, LMFT, LADC, LMSW, LPC-A, LMFT-A, or LADC) clinicians to provide counseling and psychotherapy in our Clinic and private practice groups. Clinicians are required to be able to complete accurate clinical notes and...
-
Fire Protection Specialist
1 week ago
West Covina, California, United States City of West Covina, CA Full timeJob SummaryUnder the direction of the Fire Marshal, the Fire Protection Specialist is responsible for ensuring compliance with fire safety codes and regulations in various structures and installations within the City of West Covina. This role involves promoting fire safety, investigating the causes and origins of fires, and enforcing applicable laws and...
-
Fire Protection Specialist
1 week ago
West Covina, California, United States City of West Covina, CA Full timeJob SummaryUnder the direction of the Fire Marshal, the Fire Protection Specialist is responsible for ensuring compliance with fire safety codes and regulations in various structures and installations within the City of West Covina. This role involves promoting fire safety, investigating the causes and origins of fires, and enforcing applicable laws and...
-
Quality Assurance Specialist/NDA QA Specialist
3 months ago
West Paducah, United States Four Rivers Nuclear Partnership LLC Full timeJob DescriptionJob DescriptionNondestructive Assay Quality Assurance SpecialistReports to the FRNP Quality Assurance/Quality Control (QA/QC) Manager for oversight of the Nondestructive Assay (NDA) Program. Under limited supervision, performs quality assurance support for the QA/QC team in the area of NDA as a primary function. Other duties may be assigned as...
-
Quality Assurance Manager
2 hours ago
West Nyack, New York, United States Intercos Full timeJob SummaryWe are seeking a highly skilled Quality Control Manager to join our team at Intercos Group. As a key member of our quality assurance team, you will be responsible for ensuring that our products meet the highest standards of quality and safety.Key ResponsibilitiesQuality Control - Product Inspection and ReleaseConduct thorough testing of materials...
-
Medical Billing and Coding Specialist
2 weeks ago
West Palm Beach, United States LA Medical Associates Full time $16 - $22Job DescriptionJob DescriptionWe are a growing multi-specialty practice looking for exceptional candidates to add to our LA Medical Family. We strive to bring a collaborative culture with a family environment. At LA Medical we believe our people are our most important asset!Please see the following for responsibilities:Must have a minimum 2 years Primary...
-
Medical Billing and Coding Specialist
7 days ago
West Palm Beach, United States LA Medical Associates Full timeJob DescriptionJob DescriptionWe are a growing multi-specialty practice looking for exceptional candidates to add to our LA Medical Family. We strive to bring a collaborative culture with a family environment. At LA Medical we believe our people are our most important asset!Please see the following for responsibilities:Must have a minimum 2 years Primary...
-
QA Automation Engineer-Mobile
3 months ago
West Chester, United States Sentrilock LLC Full timeJob DescriptionJob DescriptionDescription:As a QA Automation Engineer at SentriLock, you will be a part of our Quality Assurance Team. You will own the success and execution for our automation test suites and processes with the goal of delivering exceptional quality to our web and app customers. You will train others and help cultivate a culture that adopts...
-
Structural Engineer
3 weeks ago
West Nyack, United States CSG Talent Full timeStructural Engineer will focus on the preparation of formal calculation reports for submission of design confirmation to various cliental.Calculation reports must professionally present verification of all levels of design with the application of nationally recognized design standards (AISC, ACI, ASCE, AWS Etc.).Essential Functions* Preparation of...
-
Structural Engineer
2 months ago
West Nyack, United States CSG Talent Full timeStructural Engineer will focus on the preparation of formal calculation reports for submission of design confirmation to various cliental.Calculation reports must professionally present verification of all levels of design with the application of nationally recognized design standards (AISC, ACI, ASCE, AWS Etc.).Essential Functions* Preparation of...
-
Medical Bill Review Specialist
3 days ago
West Des Moines, Iowa, United States CorVel Healthcare Corporation Full timeJob SummaryCorVel Healthcare Corporation is seeking a highly skilled Medical Bill Review Specialist to join our team. As a Medical Bill Review Specialist, you will be responsible for reviewing, auditing, and data-entering medical bills for multiple states and lines of business.Key ResponsibilitiesMedical Bill Review: Conduct thorough reviews of medical bills...