Current jobs related to Non-clinical Coding and Oasis Review Manager - Orlando - BAYADA Home Health Care
-
Account Manager
4 months ago
Orlando, United States Your Oasis Full timeJob DescriptionJob DescriptionYour Oasis is looking for a Account Manager to be responsible for generating leads and meeting sales goals. Duties will include sales presentations and product demonstrations, as well as negotiating contracts with potential clients.This position is for an OUTSIDE SALES environment. Sales experience in the Lawn Care and Pest...
-
Client Relationship Manager
4 weeks ago
Orlando, Florida, United States Your Oasis Full timeJob OverviewYour Oasis is seeking a Client Relationship Manager who will play a pivotal role in driving sales and cultivating client relationships. The primary responsibilities will include conducting sales presentations, demonstrating products, and negotiating agreements with prospective clients.This role is designed for an OUTSIDE SALES setting. Experience...
-
Medical Coding Specialist
3 days ago
Orlando, Florida, United States InnovaCare Health Full timeJob SummaryWe are seeking a highly skilled Medical Coder to join our team at InnovaCare Health. As a Medical Coder, you will play a critical role in reviewing patient records and assigning standardized codes for accurate records and insurance reimbursement.Key ResponsibilitiesReview and accurately code office procedures for reimbursement and timely claim...
-
Outpatient Coding Specialist
3 days ago
Orlando, Florida, United States Health First Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Outpatient Coder III to join our team at Health First. As a key member of our coding team, you will be responsible for providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement.Key ResponsibilitiesMaintain patient confidentiality and adhere to...
-
Utilization Review Representative
2 months ago
Orlando, United States Medusind Full timeJob DescriptionJob DescriptionDescription:At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with rich domain expertise and robust compliance norms.Our four-prong approach of an excellent management...
-
Hospital Coding Manager
2 weeks ago
Orlando, Florida, United States Orlando Health Full timeJob SummaryWe are seeking a highly skilled and experienced Hospital Coding Manager to join our team at Orlando Health. The successful candidate will be responsible for overseeing the hospital coding services and coding team, developing goals and objectives, and establishing policies and procedures for team operations.Key ResponsibilitiesOversee and monitor...
-
Physical Therapist
2 days ago
Orlando, United States Kassy Home Health Full timeJob SummaryWe are seeking a skilled Physical Therapist to join our team at Kassy Home Health. As a Physical Therapist, you will be responsible for providing high-quality therapy services to patients in their homes. If you have a passion for delivering exceptional patient care and are looking for a rewarding career opportunity, we encourage you to...
-
Medical Coding Specialist
2 weeks ago
Orlando, Florida, United States Quest National Services Full time{"title": "Medical Coder and Biller", "description": "Job SummaryQuest National Services is seeking an experienced Medical Coder and Biller to join our team. As a key member of our Account Management team, you will play a critical role in reviewing medical records and selecting the most appropriate codes to ensure accurate billing and reimbursement.Key...
-
Medical Coding Specialist
7 days ago
Orlando, Florida, United States Quest National Services Full timeMedical Coder and Biller Job DescriptionAt Quest National Services, we are seeking an experienced Medical Coder and Biller to join our team. As a key member of our Account Management team, you will play a crucial role in reviewing medical records and selecting the most appropriate codes to ensure accurate billing and reimbursement.Responsibilities:Review...
-
Coding Specialist
4 weeks ago
Orlando, Florida, United States Bayfront Health Full timeJob SummaryWe are seeking a skilled Coding Specialist to join our team at Bayfront Health. As a Coding Specialist, you will play a vital role in ensuring the accuracy and compliance of hospital coding services.Key ResponsibilitiesCoding and Quality AssuranceReview and audit medical records to ensure quality of work and specificity of diagnoses and...
-
Code Compliance Project Manager
3 weeks ago
Orlando, Florida, United States ECS Limited Full timeJob SummaryWe are seeking a highly skilled and experienced Residential Building Inspector to join our team at ECS Limited. As a Code Compliance Specialist, you will be responsible for managing code compliance projects, conducting inspections, and providing technical support to ensure compliance with building codes and regulations.Key ResponsibilitiesProject...
-
Inpatient Hospital Coding Specialist
1 week ago
Orlando, Florida, United States Orlando Health Full timeJob SummaryWe are seeking a highly skilled and experienced Coding Liaison to join our team at Orlando Health. As a key member of our Revenue Management Team, you will be responsible for ensuring accurate and compliant coding practices for inpatient and outpatient encounters.Key ResponsibilitiesCollaborate with coders, physicians, and other stakeholders to...
-
Nurse - Revenue Review Utilization
4 weeks ago
Orlando, United States Veterans Health Administration Full timeServes as a patient advocate providing accurate and timely clinical information to third-party payers. Ensures compliance with established third-party payer criteria for reimbursement and appeal of clinical denials. Ensures all RUR staff provides feedback as appropriate, for performance improvement, utilization management, and compliance related...
-
Medical Coding Specialist
2 weeks ago
Orlando, Florida, United States Quest National Services Full timeMedical Coder and Biller Job DescriptionWe are seeking a skilled Medical Coder and Biller to join our team at Quest National Services. As a Medical Coder and Biller, you will play a critical role in ensuring the accuracy and efficiency of our coding processes.Key Responsibilities:Review charge source documents for proper completion and accuracyAccurately...
-
Medical Coding Specialist
2 weeks ago
Orlando, Florida, United States Quest National Services Full timeMedical Coder and Biller Job DescriptionWe are seeking a skilled Medical Coder and Biller to join our team at Quest National Services. As a Medical Coder and Biller, you will play a critical role in ensuring the accuracy and efficiency of our coding and billing processes.Key Responsibilities:Review charge source documents for proper completion and...
-
Medical Coding Specialist
3 days ago
Orlando, Florida, United States Quest National Services Full timeJob Title: Medical Coder and BillerCompany DescriptionQuest National Services is a leading provider of back-office services and solutions to healthcare organizations nationwide.Job SummaryWe are seeking an experienced medical coder and biller who is skilled in multi-disciplines and specialties. The ideal candidate will deliver exceptional customer service...
-
Risk Adjustment Coding Specialist
4 weeks ago
Orlando, Florida, United States Wellvana Integration Partners, LLC Full timeAbout Wellvana Integration Partners, LLC:At Wellvana, we are committed to transforming the healthcare landscape. Our mission is to empower healthcare providers to deliver exceptional care through innovative value-based programs.Position Overview:The Risk Adjustment Coding Educator plays a pivotal role in guiding healthcare providers on the intricacies of...
-
Risk Adjustment Coding Specialist
4 weeks ago
Orlando, Florida, United States Wellvana Integration Partners, LLC Full timeAbout Wellvana:At Wellvana, we are committed to transforming the healthcare landscape. Our mission is to enable healthcare providers to deliver exceptional care that prioritizes patient outcomes over volume.Our innovative value-based care programs are designed to overhaul a system that has historically favored quantity over quality. By aligning patient...
-
Certified Medical Coding Specialist
4 weeks ago
Orlando, Florida, United States Quest National Services Full timeJob OverviewCompany Overview:A reputable and expanding Medical Billing & Coding firm is seeking a skilled Certified Professional Coder.Role Summary:The ideal candidate will possess extensive experience in coding healthcare claims accurately to secure reimbursements from insurance providers and government health programs. This role also encompasses...
-
Certified Medical Coding Specialist
4 weeks ago
Orlando, Florida, United States Quest National Services Full timeJob DescriptionCompany OverviewQuest National Services is a reputable and expanding organization in the Medical Billing & Coding sector.Position SummaryWe are in search of a skilled Certified Professional Coder (CPC) to accurately code healthcare claims, ensuring proper reimbursement from insurance providers and government healthcare programs. The ideal...
Non-clinical Coding and Oasis Review Manager
4 months ago
**Please note
BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information Set (OASIS) documentation for quality and adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected to maintain ongoing communication with BAYADA’s service offices and assist the company in addressing and meeting business and development goals.
This is a **non-clinical** role (Note: Clinical opportunities are also available).
**BAYADA Perks**:
- Base Salary: $**62000**/year depending on qualifications
- Bonus Opportunity of** $500/Quarter** based on department metrics
- BAYADA offers a **comprehensive benefits plan** that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit, and employee assistance program
- To learn more about BAYADA Benefits, click here.
**Responsibilities**:
- Review clinical information for appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.
- Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy.
- Perform final review and lock OASIS.
- Timely review and coding of OASIS documents with productivity maintained at the quarterly target set by the Director of MCM.
- Prevent or decrease the occasion of Medicare denials by assuring proper coding on the plan of care and accurate OASIS documentation.
- Provide support and communication to all disciplines within the service.
- Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues.
- Communication with service offices monthly and as appropriate with a focus on documentation trends, star ratings and potential revenue impact.
- Perform related duties, or as required or requested by Manager/Director.
**Qualifications**:
- Four (4) year college degree preferred.
- **COS-C or HCS-O or COQS OASIS Certification (required)**:
- **HCS-D or BCHH-C Home Health Care Coding Certification (required)**:
- Minimum of 1 year experience with coding and OASIS review.
- Knowledge of OASIS, Home Care and Medicare regulations
- Excellent organizational, interpersonal and communication skills
- Process oriented, has meticulous attention to detail, and is able to work as part of a team in a busy, high-energy, fast-paced environment.
- Completion of coding quiz with passing grade as part of the interview process.
- Medicare, Coder, OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health Coding_
**As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.
