Non-Clinical Coding and OASIS Review Manager
Non-Clinical Coding and OASIS Review Manager
Posted on :
05-04-2025
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1 Vacancy
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Job Description
Please note Candidates must have COSC HCSO or COQSand HCSD or BCHHC in order to be considered there is no flexibility around this requirement.
BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information Set (OASIS) documentation for quality and adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office individuals in this role are expected to maintain ongoing communication with BAYADAs service offices and assist the company in addressing and meeting business and development goals.
This is anonclinical role (Note: Clinical opportunities are also available).
BAYADA Perks:
- This role isfully remotecandidates may be based anywhere in the US
- Base Salary: $62000/year depending on qualifications
- Bonus Opportunity of$500/Quarterbased on department metrics
- BAYADA offers acomprehensive benefits planthat includes the following: Paid holidays vacation and sick leave vision dental and medical health plans employer paid life insurance 401k with company match direct deposit and employee assistance program
- To learn more about BAYADA Benefitsclick here.
Responsibilities:
- Review clinical information for appropriateness congruency and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.
- Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy.
- Perform final review and lock OASIS.
- Timely review and coding of OASIS documents with productivity maintained at the quarterly target set by the Director of MCM.
- Prevent or decrease the occasion of Medicare denials by assuring proper coding on the plan of care and accurate OASIS documentation.
- Provide support and communication to all disciplines within the service.
- Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines Home Care Coding PDGM guidelines and billing related issues.
- Provide ongoing communication with service offices via email zoom or telephone (specific to the service office needs).
- Communication with service offices monthly and as appropriate with a focus on documentation trends star ratings and potential revenue impact.
- Perform related duties or as required or requested by Manager/Director.
Qualifications:
- Four 4 year college degree preferred.
- COSC or HCSO or COQS OASIS Certification (Required)
- HCSD or BCHHC Home Health Care Coding Certification (Required)
- Minimum of 1 year experience with coding and OASIS review.
- Knowledge of OASIS Home Care and Medicare regulations
- Excellent organizational interpersonal and communication skills
- Process oriented has meticulous attention to detail and is able to work as part of a team in a busy highenergy fastpaced environment.
- Completion of coding quiz with passing grade as part of the interview process.
- Candidates should be available MondayFriday from 8:30am5:00pm.
Medicare Coder OASIS Review Utilization Review Quality Assurance Remote Home Health Coding
Required Experience:
Manager
Employment Type
Full-Time
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