Key skills
CCommunication
About this role
Role Overview
- 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.
Requirements
- 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.
- Required Certifications: 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
- Health insurance
- Flexible working environment