Quality Auditor - Home Health Coding

Go-Get Data Consultancy

R$6.1-6.6K[月薪]
现场办公 - 帕西格1-3年经验专科全职
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职位描述

职位描述

The Quality Auditor – Home Health Coding is responsible for performing audits of home health documentation to ensure coding accuracy, OASIS alignment, and regulatory compliance. This role plays a key part in optimizing reimbursement, reducing compliance risks, and enhancing overall documentation quality. The ideal candidate has in-depth knowledge of ICD-10-CM coding guidelines, OASIS conventions, and Medicare regulations governing home health services.


  • Conduct retrospective and concurrent coding audits of patient records, including OASIS assessments, Plan of Care, and clinical documentation.
  • Evaluate accuracy of diagnosis coding and adherence to ICD-10-CM guidelines specific to home health care.
  • Validate alignment between OASIS responses and clinical documentation.
  • Identify documentation inconsistencies and provide recommendations for improvement.
  • Collaborate with clinical staff and coders to ensure accurate coding and documentation practices.
  • Provide feedback, training, and educational support to clinicians and coders based on audit findings.
  • Track, trend, and report audit results to management; assist in developing action plans for continuous improvement.
  • Monitor compliance with CMS, Medicare, and accrediting body requirements related to coding and clinical documentation.
  • Stay current with regulatory changes, coding updates, and industry best practices.


职位要求

  • Quality Experience: Minimum 1 year
  • Home Health Coding Experience: Must be Minimum of 1 year
  • Total requirement: 10 (5-Day shift, 5- Night shift)
  • Strong communication and comprehension skills.
  • Proficiency in analysing quality metrics and making data-driven decisions.
  • In-depth knowledge of HHC specific regulations and compliance requirements.
  • Familiarity with electronic health record (EHR) systems and quality management tools.
  • Hands on experience in OASIS


Preferred Qualifications

Education & Certification:

  • High School diploma or equivalent required; Associate or Bachelor’s degree in health-related field preferred.
  • Certified Home Health Coder (e.g., HCS-D, HCS-O, or BCHH-C) preferred.
  • ICD-10-CM coding certification required.

Experience:

  • Minimum of 3 years of experience in home health coding and OASIS review.
  • Prior experience conducting coding or clinical documentation audits strongly preferred.
  • Strong understanding of Medicare home health PPS and OASIS-E.

Skills:

  • Proficient in coding software and EMR systems (e.g., Homecare Homebase, WellSky).
  • Strong analytical, critical thinking, and attention to detail.
  • Excellent communication and education skills.
  • Ability to work independently and manage multiple priorities.


住院编码门诊编码Home Health Coding
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Ozidi Odunze

HR ManagerGo-Get Data Consultancy

七天内活跃

工作地址

Pasig. Pasig, Metro Manila, Philippines

发布于 22 April 2025

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