Medical Coder & OASIS Auditor (RN)

Cebu City, PH / Davao, PH / Manila, PH, US Eastern Standard Time (EST)Full-TimeMiddle

Salary not disclosed

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Job Details

Bachelor’s degree in Nursing, Health Information Management, or a related healthcare field preferred.
Minimum 3–5 years of experience in home health coding, OASIS review, or clinical auditing.
Strong knowledge of ICD-10 coding guidelines and CMS home health regulations.
Experience with OASIS documentation and auditing processes.
Familiarity with EMR/EHR systems and audit tools.
Excellent analytical, communication, and attention-to-detail skills.
Certificate for OASIS Specialist–Clinical (COS-C) or Home Care Clinical Specialist—OASIS (HCS-O).
Home Care Coding Specialist—Diagnosis (HCS-D) or Board Certified Home Health Coder (BCHH-C).

Perform detailed audits of OASIS assessments, clinical documentation, and ICD-10 coding to ensure accuracy, completeness, and compliance.
Review Start of Care, Recertification, Discharge assessments, Plans of Care (485), visit notes, and supporting documentation for regulatory adherence.
Validate coding accuracy and ensure proper assignment of diagnoses in alignment with home health guidelines.
Ensure compliance with Conditions of Participation (CoPs) and Conditions of Payment.
Identify documentation gaps, coding discrepancies, and compliance risks; provide actionable feedback and corrective recommendations.
Collaborate with clinical, coding, and compliance teams to improve documentation quality and coding practices.
Support Quality Assurance and Performance Improvement (QAPI) initiatives and regulatory readiness.
Conduct follow-up audits and monitor corrective action plans to ensure sustained compliance.
Stay updated with CMS guidelines, OASIS updates, and coding regulations relevant to home health.

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