Licensed Nurse-Clinical Coding and OASIS Review Specialist

Clinical Coding and OASIS Review Specialist

RN or LPN

Full Time

Your Choice At Home is an affiliate of Cobble Hill Life Center and a Certified Home Health Agency (CHHA). We're culturally sensitive, and many of our staff come from within the community that they serve. Operating 24 hours, 7 days a week, we offer reliable, dignified care in your own home and specialize in health services, personal care, and champion services.

The Oasis Reviewer and Documentation Specialist plays a crucial role in ensuring the accurate coding and review of nursing assessments (SOC/ROC/Recert) and 485 data in accordance with Centers of Medicare and Medicaid (CMS) and Department of Health regulations.

What's in it for you?

• Fully remote position
• 10% of salary employer contribution retirement plan with a 3-year vesting schedule
• Generous medical, dental, vision, and life insurance coverage
• Employer contribution toward medical deductible (effective day 1 of employment)
• Generous PTO package including holiday, sick, vacation and personal days (including your birthday!)

Key Tasks Include:

• Perform comprehensive home health documentation reviews within multiple EMR systems; reviews will focus on coding and OASIS accuracy in accordance with regulatory requirements
• Review clinical OASIS (SOC/ROC/Recert assessments) and 485 data to ensure accuracy, appropriateness, congruency, completeness, and compliance with federal and state regulations and client policy
• Ensure appropriate ICD-10 coding and sequencing as it relates to the patient's medical condition
• Perform final review and lock OASIS
• Communication with service offices monthly and as appropriate with a focus on documentation trends, star ratings and potential revenue impact
• Prevent or decrease the occasion of Medicare denials by assuring proper coding on the plan of care and accurate OASIS documentation
• Act as a resource for clinicians as it relates to OASIS, coding, and PDGM guidelines
• Communication with service offices monthly and as appropriate with a focus on documentation trends, star ratings and potential revenue impact.

• Work closely with the CHHA's interdisciplinary team, including nursing staff, social workers, and administrators, to coordinate admissions and provide comprehensive care to patients
• Maintain knowledge of regulations governing Medicare/Medicaid/Managed Care reimbursement processes

Position Requirements Include:

• Graduate of an accredited school of nursing
• Licensed as an RN or LPN in the State of New York
• HCS-D pr BCHH-C Home Health Care Coding certification required
• OASIS (COS-C/HCS-O/COQS) certification required SHP experience a plus!
• 2+ years of recent home health coding and OASIS review experience
• Background in a management, operations, or quality assurance role within a home health agency preferred
• Extensive knowledge of CMS home health regulations including OASIS, coding and plan of care requirements
• Advanced computer skills with experience with one or more EMR systems
• Must have a designated workspace free from noise and distraction