Packet Review / Coding Specialist

Horizon Home Health and Hospice • Caldwell, ID

1d

About The Position

The OASIS Review and Coding Specialist is a professional, 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. Essential Job Functions/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 organization leadership of problematic trends as a result of OASIS review. Works with managers to address trends that affect the agency’s outcome and process measures noted during 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. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job.The incumbents may be requested to perform job related tasks other than those stated in this description. Position Qualifications Coding Experienced Preferred Proficient knowledge of OASIS and ICD-9/ICD-10 coding. OASIS certification (COS-C) preferred; OASIS Home health ICD-9/ICD-10 coding certification preferred. Knowledge of federal regulations and state licensure requirements. Working knowledge of computer systems. 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. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

Requirements

• Coding Experienced Preferred
• Proficient knowledge of OASIS and ICD-9/ICD-10 coding.
• Knowledge of federal regulations and state licensure requirements.
• Working knowledge of computer systems.
• 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 organization leadership of problematic trends as a result of OASIS review.
• Works with managers to address trends that affect the agency’s outcome and process measures noted during 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.

What This Job Offers

• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees