Quality Review and Coding Specialist – Continuum of Care
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Job Description
Responsible for auditing and coding patient charts remotely for SSM Health. Ensuring accurate reflection of coded diagnoses in patient assessments and care plans.
Responsibilities:
- Responsible for performing audits and coding patient charts at the appropriate timepoints in care.
- Review assessments and plans of care to ensure that the coded diagnoses on patient charts are accurately reflected in assessment and plan of care documentation.
- Utilizes computerized coding/abstracting equipment, codes all diagnoses/procedures in accordance with coding guidelines while meeting quality and productivity standards.
- Provides necessary assistance to field staff and leadership to Outcome and Assessment Information Set (OASIS), Healthy Outcomes from Positive Experiences (HOPE), and/or ICD-10 queries.
- Assists coders and quality review staff in performance of duties.
- Maintains and reports statistical information when applicable.
- Reviews daily reports to ensure all records are processed.
- Consults with field clinical staff regarding appropriate ICD codes and sequencing.
- Performs other duties as assigned.
Requirements:
- High School diploma/GED or 10 years of work experience
- Two years' experience
- Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
- Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
- Frequent use of hearing and speech to share information through oral communication.
- Ability to hear alarms, malfunctioning machinery, etc.
- Frequent keyboard use/data entry.
- Occasional bending, stooping, kneeling, squatting, twisting and gripping.
- Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
- Rare climbing.
- Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board
- Or • Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance
- Or • Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance
- Or • Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance
- Or • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
Benefits:
- Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
- Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
- Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members.
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