L3 Medical Coder [100% WFH graveyard]

About TAIO

TAIO is a bespoke BPO that builds and manages teams for companies around the world, from various industries including healthcare, non-life insurance, IT Consultancy among others. Our mission is to connect people who work together to grow and become successful.


Responsibilities and Duties

  • Reviewing and analyzing patient records from the Electronic Medical Record.

  • Reviewing documentation and providing ICD-10 coding recommendations based on current coding, OASIS, and PDGM Guidelines.

  • Collaborating with the clinicians to ensure a high level of accuracy of coding.

  • Work closely with DON in the agency by assisting with each case for the QA, coding, and OASIS review process.

  • Observing and reporting unusual patterns in data collection and/or lack of adequate documentation for code assignments.

  • Communicating and working effectively with colleagues from other departments.

  • Maintaining patient confidentiality and HIPAA information security during employment.

  • Must be self-motivated, responsive, and committed to communicating with the management/supervisor closely.


Requirements

  • Must have 1-2 years experience as a "Home health" medical coder. 

  • Must have experience creating the CMS 485 or Plan of Care.

  • Must have knowledge or background in reading visit Frequency and Duration. 

  • OASIS-E1 knowledge is a must. 

  • Updated in ICD-10-CM. 

  • Must be knowledgeable in navigating Kinnser EMR.

  • Background with Case managing is a plus.

  • Must be knowledgeable with visit notes and physician orders.

  • Audit Oasis which includes (SOC, ROC, Recert, Discharge and transfer)

  • Knowledge of Medicare guidelines and PDGM ICD 10 codes

  • Enter missing medications based on the referral documents

  • Review and check back notes if corrections were made

  • Approve OASIS documentation when corrections are made

  • Create CMS 485 / Plan of Care

  • Creating necessary physicians order.

  • Audit Skilled Nurse Visits

  • Send SNV notes/corrections to clinician

  • Run OASIS check and analysis

  • Registered Nurse / Nursing degree

  • Strong knowledge of clinical documentation, regulatory requirements, and quality assurance principles

  • Ability to work independently and collaboratively

  • Excellent communication, interpersonal, and analytical skills


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