JOB DESCRIPTION:
Receives clients name from supervisor or designated clinician
Timely review and coding of OASIS documents with productivity maintained at the weekly target set by the Agency
OASIS for documentation for completeness, inconsistencies, and accuracy
Plan of treatment review for an accurate reflection of patient’s condition and skilled interventions
Medication profile for relevance to interventions, goals, and coding sequencing
Appropriate physician’s orders
Care planning as it relates to assessment and regulatory requirements
Conduct reviews of coding and provide recommendations for appropriate coding based on current coding guidelines
Identifies need for OASIS/documentation education and communicates group needs to care center leadership and Supervisor.
Communicates any delays in processing assessments to Supervisor.
Timely and accurately review patient charts, including home health coding and OASIS review, discharges and transfers.
Communicate directly with the client, including management and field staff, educate on trends found in the review process as it pertains to coding and OASIS guideline and conventions.
Help clients streamline processes as it relates to the review of charts, EMR workflows, and communication.
Excellent verbal and written communication skills, and ability to relate well in a remote environment under the supervision of coding managers
Provide written feedback related to documentation and coding
Conduct other clinical record audits as assigned
Prepare reports as requested
Maintain proficiency/knowledge of coding guidelines