L3 Medical Coder [100% WFH graveyard]

About TAIO

TAIO is a bespoke BPO that builds and manages teams for companies around the world, from various industries including healthcare, non-life insurance, IT Consultancy among others. Our mission is to connect people who work together to grow and become successful.

Responsibilities and Duties

• Reviewing and analyzing patient records from the Electronic Medical Record.
• Reviewing documentation and providing ICD-10 coding recommendations based on current coding, OASIS, and PDGM Guidelines.
• Collaborating with the clinicians to ensure a high level of accuracy of coding.
• Work closely with DON in the agency by assisting with each case for the QA, coding, and OASIS review process.
• Observing and reporting unusual patterns in data collection and/or lack of adequate documentation for code assignments.
• Communicating and working effectively with colleagues from other departments.
• Maintaining patient confidentiality and HIPAA information security during employment.
• Must be self-motivated, responsive, and committed to communicating with the management/supervisor closely.

Requirements

• Must have 1-2 years experience as a "Home health" medical coder.
• Must have experience creating the CMS 485 or Plan of Care.
• Must have knowledge or background in reading visit Frequency and Duration.
• OASIS-E1 knowledge is a must.
• Updated in ICD-10-CM.
• Must be knowledgeable in navigating Kinnser EMR.
• Background with Case managing is a plus.
• Must be knowledgeable with visit notes and physician orders.
• Audit Oasis which includes (SOC, ROC, Recert, Discharge and transfer)
• Knowledge of Medicare guidelines and PDGM ICD 10 codes
• Enter missing medications based on the referral documents
• Review and check back notes if corrections were made
• Approve OASIS documentation when corrections are made
• Create CMS 485 / Plan of Care
• Creating necessary physicians order.
• Audit Skilled Nurse Visits
• Send SNV notes/corrections to clinician
• Run OASIS check and analysis
• Registered Nurse / Nursing degree
• Strong knowledge of clinical documentation, regulatory requirements, and quality assurance principles
• Ability to work independently and collaboratively
• Excellent communication, interpersonal, and analytical skills