OASIS Review & Coding Specialist | Full Time | Manito Home Health

Pennant Group

2d•$85,000

About The Position

The OASIS Review & Coding Specialist is responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes. This position will ensure appropriate ICD-9 – ICD-10 coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues.

Requirements

1-2 years of experience of home health clinical, coding, or billing experience required.
RN, PT, OT, or ST license preferred.
Working knowledge of OASIS and ICD-9/ICD-10 coding.
Knowledge of federal regulations and state licensure requirements.
Working knowledge of computer systems.
Possess and maintains current CPR certification.
Licensed driver with automobile that is in good working order and insured in accordance with organization requirements.
Excellent coordination and communication skills.
Detail oriented and able to work with minimal supervision.

Nice To Haves

OASIS certification (COS-C) preferred; OASIS Home health ICD-9/ICD-10 coding certification preferred.

Responsibilities

Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
Utilizes OASIS variation or alert reports when reviewing OASIS data.
Ensures appropriate ICD-9 – ICD-10 coding and sequencing as it relates to the patient’s medical condition, including any co-morbidities.
Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy.
Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
Notifies OASIS Review Nurse and Agency Managers of problematic trends as a result of OASIS review.
Participates in Quality Improvement and Corporate Compliance activities as assigned.
Assists with other chart audit activities as assigned.
Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.