Ohio Living
Clinical Reviewer - Medical Coder & QA
Ohio Living Corporate Office
Sponsorship not specifiedDetected 7 hours ago
ExcelCustomer SupportICD-10Patient CareLeadershipMicrosoft Office
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Lottery odds40
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About the role
- It's fun to work in a company where people truly BELIEVE in what they're doing!
- Ensures appropriate documentation is completed for all patients transferred to an inpatient facility. - Assists the clinical management staff with conducting OASIS and documentation portions of the job-specific orientation as requested.
- Assists with identification of and then provides additional training for employees on OASIS documentation.
Responsibilities
- Maintains accepted productivity of all Plans of Care.
Requirements
- High school diploma or equivalent required.
- Certification in ICD-10 diagnosis coding required or willing to obtain within six months of hire.
- Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.
- Must be able to read, write, speak, and understand the English language.
- Education
- Two years of post-secondary education in a clinical specialist or medical records program or Certificate for OASIS Specialist-Clinical (COS-C) designation from OASIS Certificate and Competency Board (OCCB).the OASIS Certificate and Competency Board (OCCB) required.
- Current unencumbered license for the state of Ohio to practice as a Licenses Practical Nurse (LPN) preferred Certificate for OASIS Specialist-Clinical Certificate for OASIS Specialist-Clinical Certificate for OASIS Specialist-Clinical.
- Experience
- Two years of medical-surgical, medical records management, or healthcare billing experience required.
- Experience with ICD-10 medical coding required.
- Experience in a Medicare-certified home health agency preferred.
- Other Requirements
- Working Conditions and Special Requirements
- Sitting - Up to 8 hours/day
Benefits
- Responsible to process Home Health Starts of Care (SOC) or Hospice Admission Plans of Care timely working with their assigned Home Health and Hospice office.
- Assists other Clinical Reviewers as needed to ensure Ohio Living Home Health and Hospice as a whole keeps within accepted benchmarks for Plan of Care completion and provider approval.
- Completes review of evaluation packets, OASIS-C, 485s and other clinical information for home health and hospice ensuring consistency with the comprehensive assessment of the 485.
- Ensures that appropriate care types and Plan of Care (POC) are selected based on the patient's medical condition and the staff's assessment data.
- Serves as a clinical resource to the Home Health Clinical Supervisors as well as the clinical teams for coding and clinical documentation.
Company info
- Alongside our valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcare or those embracing the next chapter of their lives.
- Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, inclusion, integrity, financial stewardship, leadership and care.
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This listing is sourced directly from Ohio Living's careers page and normalized into a canonical job model.