Medical Coder

5 days ago

Manila, National Capital Region, Philippines Taio Connect Full time ₱600,000 - ₱800,000 per year
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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