Junior Medical Coder

3 weeks ago

Metro Manila, Philippines Outsourced Quality Assured Services Inc. (ISO Certified) Full time

Job Summary
The Home Health and Hospice Medical Coder analyzes clinical documentation and accurately assigns diagnosis codes to maximize reimbursements for the organization. The employee must be able to function with a high degree of independence and exercise judgment and discretion.


Responsibilities
● Review patient’s medical history and physical, perform medication review, and recommend patient care plans.
● Review documentation and accurately apply diagnosis codes using current ICD coding guidelines.
● Problem solve and troubleshoot documentation for coding and OASIS discrepancies, logical inconsistencies, errors, and completeness.
● Collaborate with clinicians and billing staff to resolve diagnosis coding and OASIS issues.
● Maintain knowledge of OASIS, coding, and clinical practice standards to ensure current knowledge of procedures and national standards.
● Conduct clinical record audits and provide feedback related to documentation.
● Identify educational and corrective opportunities for clinical staff. Communicate findings to clinicians and agency management.
● Meet productivity and quality standards.
● Work extensively with protected health information and adhere to HIPPA privacy and security regulations and policies.
● All other duties as assigned.


Qualifications
● Previous home health and hospice coding experience highly desirable.
● Knowledge of anatomy, physiology, disease processes, and medical terminology. Familiar with operative terms and pharmacology.
● Hold or be willing to obtain Certified Coding Specialist (CCS), Home Care Coding Specialist-Diagnosis (HCS-D), Home Care Coding Specialist-Hospice (HCD-H), Home Care Clinical Specialist – OASIS (HCS-O), and/or Certificate for OASIS Specialist-Clinical (COS-C) by fulfilling continuing education requirements.
● Proficiency with the use of a computer and a variety of computer software and applications.
● Applies professional knowledge and uses critical thinking skills.
● English language proficiency.
● High attention to detail and excellent organizational skills.

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