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Delivering the Science of Care and the Art of Caring
Quality Assurance Coder
Location
Ohio + 3 moreAll locations: Ohio | Michigan | Mississippi | Texas
Posted
74 days ago
Salary
$21 - $30 / hour
Seniority
Senior
Job Description
Quality Assurance Coder
Optimal Care
• Apply accurate ICD-10-CM diagnosis codes based on patient conditions and disease processes in accordance with current coding guidelines • Review and validate Face-to-Face documentation for Home Health and Hospice to ensure regulatory compliance • Identify the appropriate focus of care for Home Health and confirm eligibility criteria for Hospice patients • Audit medical records using critical thinking skills to ensure documentation accuracy and compliance • Communicate significant findings, compliance concerns, or documentation discrepancies to the Director of Quality Assurance and QA Specialists • Assist in tracking documentation and coding to support timely billing and regulatory adherence • Prepare reports as directed by the Director of Quality Assurance • Monitor and stay current on Conditions of Participation (CoPs) and regulatory changes impacting quality improvement and patient care • Ensure compliance with federal, state, local, Medicare, Medicaid, third-party payer, and OSHA regulations • Identify and report potential coverage or reimbursement concerns • Manage workflow, recognize sequencing issues, and recommend solutions to prevent disruption to patient care • Assist with special audits and quality initiatives as assigned
Job Requirements
- High School Diploma or GED
- Current ICD-10 Coding Certification
- Minimum 3 years of quality assurance experience
- Demonstrated interpersonal skills with ability to communicate effectively
- Demonstrated decision making and financial management skills
- Exhibits working knowledge of regulations and reimbursement in home health and hospice
- Willing to develop new critical thinking skills
Benefits
- Minimum of 3 Weeks Paid Time Off (PTO)
- Company Vehicle Program
- Mentorship Culture
- Medical, Dental, and Vision Insurance
- 401(k) with Employer Match
- Mileage Reimbursement
- Cutting Edge Technology
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