Covenant

6 days ago

Manila, National Capital Region, Philippines Limitlessli Full time $80,000 - $120,000 per year

At Limitlessli, we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.

The Opportunity:
The Home Health and Hospice Coder & Auditor is responsible for reviewing, coding, and auditing clinical documentation to ensure accuracy, compliance, and optimal reimbursement. This role combines expert knowledge of ICD-10 coding guidelines, OASIS data set requirements, and CMS regulations to support quality patient care and organizational compliance. The Coder & Auditor works closely with clinicians, compliance, and leadership teams to ensure documentation integrity, accurate coding, and identification of training opportunities.

These positions are remote, so offer you the flexibility of working from home.

Key Responsibilities:
  • Coding & Documentation Review
    • Assign accurate and compliant ICD-10-CM codes for home health and hospice episodes based on medical documentation and OASIS assessments.
    • Ensure coding aligns with CMS guidelines, payer requirements, and industry best practices.
    • Review clinical documentation for completeness, accuracy, and demonstration of medical necessity and appropriate levels of care.
    • Review clinician documentation for completeness, accuracy, and medical necessity.
    • Collaborate with clinicians to clarify diagnoses, treatments, and documentation gaps.
  • Auditing & Compliance
    • Conduct internal audits of clinical records for Home Health, Hospice, and Palliative Care programs to ensure compliance with regulatory and organizational standards.
    • Monitor trends in coding and documentation to identify potential compliance issues.
    • Prepare audit reports and recommend corrective actions.
    • Assist in the development of compliance policies and procedures related to coding and documentation.
Quality & Performance Improvement (QAPI):
  • Actively participate in QAPI initiatives, contributing data and analysis from coding and documentation audits to support performance improvement plans.
  • Provide insight into coding and documentation trends impacting clinical quality outcomes, star ratings, and value-based purchasing metrics.
  • Collaborate with the Quality and Clinical Leadership teams to develop action plans for identified areas of improvement.
  • Support the collection, validation, and reporting of quality indicators (OASIS, HIS, CAHPS, etc.).
Education & Training:
  • Provide individualized and group education to clinicians and leaders on coding accuracy, documentation best practices, and regulatory compliance.
  • Develop tools and resources to promote accurate and compliant documentation for Home Health, Hospice, and Palliative Care.
  • Serve as a subject matter expert and resource for coding, auditing, and compliance questions.
Service Fee:

Industry standards applicable to the state depending on work experience and level of expertise.

Hours:

US Eastern Standard Time (EST) – 9am to 6pm

Why Limitlessli?

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

Essential requirements:

You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You'll also be required to have a backup internet connection, ensuring that you're well-equipped to complete your work seamlessly.

Don't miss out on this opportunity – apply now and become a valuable member of the Limitlessli team If you're interested in what you have read, then we invite you to take the next step and submit your application.

APPLY NOW

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