CareOne

  • Coding Review Nurse

    Job Locations US-NJ-Rochelle Park
    Requisition ID
    2018-6115
    Position Category
    Clinical Services
    Position Type
    Hidden (2049)
  • Overview

    Great new Career Opportunity in Home Care!

     

    Now Hiring - Coding Review Nurse - Rochelle Park

     

    Hours:Monday -Friday  8:30am-5:00pm

     

    Ascend Home Health - is part of the Ascend family of Healthcare Companies. Our mission is to define excellence within the health care community. We are dedicated to inspiring people to live better lives through innovative health and wellness programs, products and services. We treat residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our patients, families and associates. We work to maintain the highest standards of care and service for our patients, families and valued employees.

     

    We are proud to Offer:

    • Competitive Salaries
    • Comprehensive Healthcare Benefits
    • 401(k) Retirement Plan
    • Paid Time Off
    • Mileage Reimbursement
    • Opportunities to advance and grow your career
    • And More!

    If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide.

     

    Ascend Home Health Care is an Equal Opportunity Employer

    EEO/AA/M/F/DV

    iNDA1

    Responsibilities

    The Coding Review Nurse, will be responsible for but not limited to:

     

    1. Collaborates with the visiting nurse to ensure that documentation of Oasis assessment, 485 and medication profile follows logically and accurately to determine appropriate use of skilled services.
    2. Determines whether or not the diagnosis is appropriate for the home care requirements of the patient as documented by the visiting nurse.
    3. Determines whether or not the documentation supports Medicare/Medicaid criteria for Home Care Services.
    4. Works closely with the Medical Records Coordinator to best coordinate work. Collaborates with the Executive Director and/or Director of Nursing on difficult issues.
    5. Demonstrates awareness of and adheres to safety and legal requirements pertinent to home health services under federal and state guidelines.
    6. Demonstrates awareness of corporate and Home Health Agency policies, and uses these as a basis for decision-making. Participates in the development of policies and procedures for home health services.
    7. Actively participates in JCAHO accreditation process by reviewing records in preparation for survey, as well as other activities as assigned. Assures compliance to regulatory agency requirements.  Participates in development of policies required for regulatory agencies.
    8. Follows all HIPAA regulations and ensures confidentially of the patient record.
    9. Demonstrates knowledge of performance improvement methods and participates in performance improvement initiatives in home health.
    10. Assists in educating the nursing staff regarding clinical documentation.
    11. Performs accurate coding of assessments for submission to payers for reimbursement.
    12. Attends staff/managerial meetings regularly.
    13. Makes skilled nursing visits as needed, in the event of significant agency needs. Demonstrates clinical expertise in the execution of the nursing process.

    Qualifications

    Professional Experience:

     

    • Current New Jersey RN License
    • 2 years of home health care nursing experience, a plus
    • Experience in the Medicare process, Intermittent Home Care and the OASIS coding process
    • Comprehensive knowledge of OASIS and the Medicare Conditions of Participation for Home Health
    • Quality and Compliance background
    • Knowledge with Medicare STARS ratings system
    • Knowledge in ICD-10 coding processes, preferably certified

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