Certified Home Health Coder & QA Specialist

Responsibilities

• Codes records using ICD-10-CM and coding guidelines.
• Reviews OASIS.
• Observes and reports unusual patterns in data collection and/or lack of adequate documentation for code assignments.
• Reviews documentation and provides ICD-10 coding recommendations based on current coding and Oasis guidelines.
• Performs other related duties as requested by the Home Health Supervision.

Qualifications

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

Education

• A high school diploma is required, and a college diploma is preferred.
• Completion of coding specific coursework required.

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- Must be comfortable with, but not limited to Excel, web-browsers, email, electronic health records (non-specific)
• Must be familiar with various technologies such as, but not limited to: security (e.g., Citrix), data collection/abstraction, encoders, web-based applications
• Self-maintenance of skillset- Maintaining credentials
• Staying current with abstraction/coding rules, manuals, and guidelines
• 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:
• A 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
• Other healthcare information related abstraction and coding credentials are desirable