PMAX Global

Home Health Coding Specialist Jobs at PMAX Global

Home Health Coding Specialist Jobs at PMAX Global

Sample Home Health Coding Specialist Job Description

Home Health- Coding Specialist

The Coding Specialist provides home health coding support to selected agencies. Reviews OASIS and assigns accurate codes that are supported by documentation.

This full-time position's day schedule may fluctuate day/evening with some weekend/holiday coverage required to meet client contractual requirements

This position requires the ability to make independent decisions regarding accurate ICD-10-CM code assignments. The coding decision will play a key role in determining the reimbursement potential home care agencies and adherence to coding compliance regulations and Fazzi policies developed to ensure accurate billing.

JOB RESPONSIBILITIES:

·Identify, review, interpret code and abstract clinical information from home health OASIS and assign correct ICD-10 codes.

· Identify viable primary diagnosis and procedure as well as pertinent secondary diagnosis and procedures.

· Follow sequencing and reporting procedures mandated by government and other payers for completion of coded data.

· Provide clinical and administrative data for billing and provide clerical support related to coding functions.

· Extract data regarding diagnosis, procedures, and identify the correct ordering for accurate reporting.

· Minimum productivity standard of 15-18 records/day-75/week with a 90% or better accuracy on audit.

· Demonstrate tested quality and integrity skills

· Ability to learn new software and technologies

· 90% accuracy rate once established as an independent coder

· Other duties may be assigned from time to time

REQUIREMENTS:

· Required: Certification of Home Health Coder BCHH-C or HCS-D certification. Minimum 2-year degree in related field. 4 year degree preferred. Background in medicine, science pharmacology helpful

· English is required for both verbal and written communication.

· Thorough knowledge of the related prospective payment system (PPS).

· Broad knowledge of pharmacology indications for drug usage and related adverse reactions.

· Knowledge of anatomy, physiology, disease processes, and medical terminology.

· Understanding of coding practices and official guidelines.

· Proficiency with computer use including Microsoft Office applications, and encoding systems.


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