Certified Home Health Coder and QA Specialist

4 weeks ago


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

We are seeking a highly skilled Certified Home Health Coder and QA Specialist to join our team at Hope At Home Health Care.

The ideal candidate will possess strong coding and analytical skills, with experience in PDGM, Oasis D1, and Kinnser software. They will be responsible for coding records using ICD-10-CM and coding guidelines, reviewing OASIS, and abstracting visit data for billing and data collection purposes.

Key Responsibilities:

  • Coding records using ICD-10-CM and coding guidelines
  • Reviewing OASIS and abstracting visit data for billing and data collection purposes
  • Observing and reporting unusual patterns in data collection and/or lack of adequate documentation for code assignments
  • Providing ICD-10 coding recommendations based on current coding and Oasis guidelines
  • Performing other related duties as requested by the Home Health Supervision

Requirements:

  • 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 required
  • Working knowledge of federal and state home health licensure regulations required
  • Knowledge of medical terminology, anatomy, and physiology, compliance, and reimbursement guidelines required
  • Sound computer skills and adaptability to home health documentation software required
  • Detail-oriented with critical thinking and strong analytical skills required
  • The ability to demonstrate flexibility in response to unexpected changes in work volume and work schedule required
  • Excellent interpersonal relations skills, including active listening, conflict resolution, and team building required
  • A minimum of two years of previous experience with ICD-10 and/or ICD-9 coding with verified employment/experience 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
  • Self-maintenance of skillset
  • 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


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