BAYADA Home Health Care
Home Health Care
OASISReviewandCodingSpecialist(NonClinical)
“OASIS Review and Coding Specialist (Non-Clinical) at BAYADA Home Health Care. Skills: OASIS Review, Coding. monitoring Outcome and Assessment Information Set (OASIS) documentation for quality and adherence to policies and procedures.. Review clinical information for appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.”
What You'll Achieve.
meeting business and development goals.; productivity maintained at the quarterly target set by the Director of MCM.; Prevent or decrease the occasion of Medicare denials by assuring proper coding on the plan of care and accurate OASIS documentation.; focus on documentation trends, star ratings and potential revenue impact.
Industry & Context.
What They're Looking For.
Must Have
COS-C, HCS-O or COQS and HCS-D or BCHH-C, COS-C or HCS-O or COQS OASIS Certification (Required), HCS-D or BCHH-C Home Health Care Coding Certification (Required), Minimum of 1 year experience with coding and OASIS review., Completion of coding quiz with passing grade as part of the interview process., Candidates should be available Monday-Friday from 8:30am-5:00pm
Nice to Have
Four (4) year college degree preferred.
What You'll Do.
monitoring Outcome and Assessment Information Set (OASIS) documentation for quality and adherence to policies and procedures.
Review clinical information for appropriateness
and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.
Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy.
Perform final review and lock OASIS.
Timely review and coding of OASIS documents with productivity maintained at the quarterly target set by the Director of MCM.
Prevent or decrease the occasion of Medicare denials by assuring proper coding on the plan of care and accurate OASIS documentation.
Provide support and communication to all disciplines within the service.
Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines
PDGM guidelines and billing related issues.
Provide ongoing communication with service offices via e-mail
or telephone (specific to the service office needs).
Communication with service offices monthly and as appropriate with a focus on documentation trends
star ratings and potential revenue impact.
Perform related duties
or as required or requested by Manager/Director.
How You'll Work.
Team & Collaboration
maintain ongoing communication with BAYADA’s service offices; assist the company in addressing and meeting business and development goals.; Provide support and communication to all disciplines within the service.; Provide customer service/education and act as a resource to Medicare Certified Offices; Provide ongoing communication with service offices via e-mail, zoom, or telephone (specific to the service office needs).; Communication with service offices monthly and as appropriate with a focus on documentation trends, star ratings and potential revenue impact.
Communication Scope
ongoing communication with BAYADA’s service offices; assist the company in addressing and meeting business and development goals.; Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy.; Provide support and communication to all disciplines within the service.; Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues.; Provide ongoing communication with service offices via e-mail, zoom, or telephone (specific to the service office needs).; Communication with service offices monthly and as appropriate with a focus on documentation trends, star ratings and potential revenue impact.
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