Home Health Coder / QA Specialist

Summary / Objective

Under the guidance of the VP of Quality, Compliance and Risk, the Home Health Coder-QA Specialist provides guidance to other members of the clinical team on overall quality and completeness of clinical documentation.

• The Home Health Coder-QA Specialist is responsible for assigning ICD 10 diagnoses codes to ensure accuracy and completeness.
• Effectively collaborates from the back office and in the field with agency clinical leadership and clinicians to support accurate collection of patient assessment information for the Oasis.
• Promotes excellence in patient care by focusing on patient practice and accurate clinical Plan of Care / Order completion.
• Ensures accurate coding and Oasis scoring according to regulatory guidelines.
• Monitors and participates in clinical record review process for quality metrics and billing.
• Conducts quality reviews to validate coding and PDGM group assignments to ensure compliance with Coding Guidelines as assigned.
• Leads training sessions on current billing, process / outcome measures results and coding information in conjunction with CDI Specialist and Staff Development as assigned.
• Provides mentoring and education to clinicians and clinical leadership to improve their current performance in all related areas.

Hours and Location : Remote- Per Diem and a 24-hour part time.

Required Education and Experience