JOB SUMMARY: Reviewing documents from referral sources, reviewing the entire patients chart from admission to discharge for consistency.
Preparing the chart for billing by following the payers guidelines.
Coordinating with referral sources, clinicians and other team members for the completion of the patient charts.
Review referral documents (start or resumption) and accept/decline patients depending on the clients guidelines. This may include logging in to different portals and softwares.
Checking the patient's eligibility report and coding the correct patient's data accurately.
Verifying if physicians will follow patients in home health.
Reading and interpreting the referral documents to determine its validity in accordance to face to face guidelines.
Determine the labs and DME needed, including IV medications, GT pumps and other equipment needed to care for patients at home.
Uploads all documents in the patient’s chart.
Sends messages to designated admission teams as required by the clients.
Refer patients for staffing by following the timely initiation of care guidelines.
Plots of approved visits after admission as required or depending on the clients policy/process
Updates any logs and or monitoring required by the clients, by the care team and/or by company supervisor. This varies between agencies.
Reviews and creates orders for SOCs and ROCs if needed.
Reviews OASIS and notes (SN, Therapists MSW, HHA) for completeness, consistencies, and accuracy.
Review or create a Plan of care depending on agency guidelines reflecting problems identified by clinicians. Fax and monitor signed POC and orders.
Review medication profile and compare with documents from referral source.
Create physician orders as needed.
Timely review of notes for completeness, consistency and accuracy.
Coordinates with the clinicians any errors, suggestions, corrections, and follow up in a timely manner.
Reports any trending errors to the team leader.
Follow up notes that are not submitted within time specified by the agency. (No more than 7 days).
Prepare charts for billing and conducting regular chart audits in the middle of the episode.
Create reports as required by the client, TL and/or supervisor.
Other related tasks that may be assigned by the immediate superior from time to time.