Clinical Coding Specialist

Stonerise Healthcare LLC Charleston , WV 25309

Posted 1 week ago

Summary:

The Clinical Coding Specialist is responsible for monitoring and performing accurate diagnosis coding. You will monitor clinical documentation and ensure accurate coding is completed in a timely manner and that records are coded to the highest degree of specificity. You will act as a qualified coding resource person for clinicians and other coding staff. You will monitor regulations and work within the ICD 10 guidelines and regulations. You will provide clinical staff education related to coding and coding guidelines.

PRIMARY RESPONSIBILITIES:

  • Receives automated and manual tasks alerting to the need for coding of patient assessments.

  • Marks tasks as "In Process" as a way to acknowledge and reserve the assessment to prevent premature OASIS submission.

  • Adds correct ICD 10 codes to medical record based on review of clinical data and communication with clinician.

  • Makes corrections based on collaboration with clinician.

  • Identifies viable primary and secondary diagnosis necessary for accurate plan of care.

  • Follows sequencing and reporting procedures mandated by Medicare and other payers for completion of coded data.

  • Creates Episode Analysis report and communicates findings with Clinical Manager.

  • Maintains up to date OASIS assessment and home health coding knowledge.

  • Ensures review time from date received does not exceed 24-48 hours during normal business hours.

  • Meets minimum productivity requirements of 10 12 reviews per day upon completion of an appropriate orientation period.

  • Contributes to team effort by accomplishing related results as needed.

  • Performs other duties as assigned

PATIENT'S RIGHTS

  • Maintains the confidentiality of patient information

  • Honor patient's personal and property rights

  • Understands all rights afforded to patient's and acts accordingly

EDUCATION/QUALIFICATIONS

  • Two years of home care industry experience.

  • Licensed Registered Nurse in Ohio and/or West Virginia

  • Previous Home Health coding experience preferred.

  • ICD-10 certification

  • In depth knowledge of the latest OASIS version, Medicare guidelines and home health standards.

  • Proficiency with Microsoft Office (Word, Excel, PowerPoint, Outlook).

  • Certification by a HCS-D or AAPC and HCS-O or COS-C program required, or must be certification eligible and obtain certification within six months of accepting the position.

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