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Clinical Coding and OASIS Review Manager
Posted about 1 month agoViewed
💎 Seniority level: Manager, 2+ years
🔍 Industry: Home Health Care
🏢 Company: BAYADA Home Health Care🫂 Last layoff about 3 years agoMedicalHealth Care
🗣️ Languages: English
⏳ Experience: 2+ years
Requirements:
- COS-C or HCS-O or COQS OASIS Certification and experience required
- BCHH-C or HCS-D Home Health Care Coding Certification and experience required
- Competency in PC skills required to perform job function
- Active State RN Nursing License, Physical (PT), Occupational (OT) or Speech (SLP) Therapists with required certifications
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.
- Provide ongoing communication with service offices via e-mail, zoom, or telephone (specific to the service office needs).
- 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.
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🔥 Non- Clinical Coding and OASIS Review Manager
Posted about 1 month ago
📍 United States
🧭 Full-Time
🔍 Home Health Care
🏢 Company: BAYADA Home Health Care🫂 Last layoff about 3 years agoMedicalHealth Care
- 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.
- Candidates should be available Monday-Friday from 8:30am-5:00pm.
- 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.
- Provide ongoing communication with service offices via e-mail, zoom, or telephone (specific to the service office needs).
- 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.
Posted about 1 month ago
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