Role Description
The Medical Coder & OASIS Auditor is responsible for ensuring accurate clinical documentation, coding, and OASIS data integrity in compliance with home health regulatory standards. This role supports quality care delivery, reimbursement accuracy, and adherence to federal, state, and accreditation requirements through detailed audits, coding validation, and clinical documentation review.
• Perform detailed audits of OASIS assessments, clinical documentation, and ICD-10 coding to ensure accuracy, completeness, and compliance.
• Review Start of Care, Recertification, Discharge assessments, Plans of Care (485), visit notes, and supporting documentation for regulatory adherence.
• Validate coding accuracy and ensure proper assignment of diagnoses in alignment with home health guidelines.
• Ensure compliance with Conditions of Participation (CoPs) and Conditions of Payment.
• Identify documentation gaps, coding discrepancies, and compliance risks; provide actionable feedback and corrective recommendations.
• Collaborate with clinical, coding, and compliance teams to improve documentation quality and coding practices.
• Support Quality Assurance and Performance Improvement (QAPI) initiatives and regulatory readiness.
• Conduct follow-up audits and monitor corrective action plans to ensure sustained compliance.
• Stay updated with CMS guidelines, OASIS updates, and coding regulations relevant to home health.
Qualifications
• Bachelor's degree in Nursing, Health Information Management, or a related healthcare field preferred.
• Minimum 3–5 years of experience in home health coding, OASIS review, or clinical auditing.
• Strong knowledge of ICD-10 coding guidelines and CMS home health regulations.
• Experience with OASIS documentation and auditing processes.
• Familiarity with EMR/EHR systems and audit tools.
• Excellent analytical, communication, and attention-to-detail skills.
Requirements
• OASIS Certification: Candidates must hold either:
• Certificate for OASIS Specialist–Clinical (COS-C), or
• Home Care Clinical Specialist—OASIS (HCS-O)
• Coding Certification: Candidates must hold either:
• Home Care Coding Specialist—Diagnosis (HCS-D), or
• Board Certified Home Health Coder (BCHH-C)
Benefits
• Embrace the flexibility and convenience of a remote working environment.
• Collaborate with an international team while contributing to our growing business.
• Work from the comfort of your home.
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
Essential Requirements
• Reliable computer and noise-canceling headset.
• Second monitor for enhanced productivity.
• Stable internet connection and a backup internet connection.
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