Certified Home Health Coder

4 months ago

Southfield, United States Hope At Home Health Care Full time
Job DescriptionJob 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

 

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