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2 days ago
We are seeking a skilled Home Care Coding Specialist to join our team at Northwell Health.
Job SummaryThe Home Care Coding Specialist will be responsible for conducting Home Health Resource Group (HHRG) Validation to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.
Key Responsibilities- Audit and review Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.
- Apply coding rules and regulations to the validation review process.
- Review codes on Medicare/non-Medicare charts for compliance to rules and conventions.
- Instruct professional staff in code changes, as needed.
- Assist clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record.
- Identify appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations.
- Report to supervisor and visiting nurses those Medical Records that are deficient in diagnosis and clinical documentation.
- Review Outcome Assessment Information Set (OASIS) and visit documentation for errors and inconsistencies related to clinical documentation, including wounds.
- Discuss findings related to OASIS reviews and advise supervisors and suggest needed corrections; instruct in coding rules and conventions that are disseminated to the staff.
- Graduate from an accredited School of Nursing.
- Bachelor's Degree in Nursing, preferred.
- Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date.
- Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
The salary range for this position is $90,000-$145,000/year. Northwell Health offers a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) plan and paid time off.
Northwell Health is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive environment that values diversity and promotes equal opportunities for all employees and applicants.
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