Home Health Coder II

Job Summary and Qualifications

The candidate must have Home Health Coding experience. As a Home Health Coder II, you will be responsible for reviewing and coding for home health and hospice utilizing clinical notes (i.e., H&P, recent Discharge summary progress notes, F2F notes, etc.). You will document recommendations for coding and OASIS edits. You will work with team lead and/or denials team to resolve coding related issues. You will serve as a key promoter of the Home Health and Hospice & Family Care and is responsible for setting the tone of Parallon coding as a service organization, continuously seeking to understand, meet and exceed customer expectations and needs.

Responsibilities

• Reviews and codes from clinical notes
• Maintains or exceeds established productivity and quality standards
• Work in conjunction with A/R team on follow up and resolution of coding related denials/rejections including recommendation of new/updated coding edits
• Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through pertinent materials
• Enhances professional growth and development through in-service meetings, educational programs, conferences, etc.
• Maintain accurate and timely review of OASIS time points and all related interdisciplinary documentation via the workflow in electronic medical record (EMR) for timely OASIS locks and submission to Center for Medicare and Medicaid Services (CMS)
• Utilizes available tools and develops training strategies to improve outcomes
• Addresses edits from Strategic Healthcare Programs (SHP) alerts, and SHP reports for specific outcomes, adverse events and utilization reports in conjunction with Quality Support Specialist (QSS) and/or Team Lead.

Requirements

• High school diploma or GED preferred
• Minimum two years professional fee coding experience required with one-year minimum experience in coding the applicable specialties for Home Health and Hospice. Relevant education may substitute experience requirement.
• Knowledge of medical terminology and anatomy and physiology is preferred.
• Knowledge of pathophysiology is preferred.
• Coding certification required.
• OASIS Certification preferred but not required

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

This response is AI-generated, for reference only.