Coder/QA- Registered Nurse- Home Health at The Care Team in Traverse City, Michigan

Job Description:

The Care Team The care you deserve and the support you need.

Come join our growing team! The Care Team Hospice is looking for a QA/Coder RN in Michigan. This particular Coder (RN) may work remote from their home but needs to hold a Michigan RN license. We specialize in providing Home Care and Hospice in the home and facilities. If you are looking for a new and exciting opportunity, we encourage you to apply today. A member of the recruiting team will be in contact with you to discuss this opportunity in more detail. At the Care Team we offer:

• Engaging Company Culture
• Competitive Compensation
• 401k with company match
• Growth from within through training, supportive leadership, and collaboration with the best of the best in your field
• Independence, Autonomy, and Flexibility!
• Innovation and industry-leading systems and technology

KEY JOB RESPONSIBILITIES:

The Coder reviews and approves all patient outcomes and assessment information set (OASIS) information submitted by the licensed professional (LP) during a start of care, recertification, resumption of care, evaluation visit and discharge. This position ensures a patient centered care plan is established. The Coder partners with the local branch leadership to identify needs for ongoing education and training for branch starts. This position assists the branch in meeting regulatory standards, as well as achieving established clinical and financial goals.

Additionally, the Coder (RN) will:

• Edit/Lock Oasis Assessment.
• Follow up on pending Oasis change.
• Review declined Oasis Item.
• Review/update/Oasis for branch transfer.
• Update all Oasis for change payor.
• Update Oasis with MSP info.
• Review evaluation documentation, OASIS, and plans of care (POC) to ensure accuracy with the comprehensive assessment, face to face, and the POC; follow up on any documentation that requires correction.
• Process POC and verify the correct start of care (SOC) and episode date range.
• Ensure visit utilization correlates with patient acuity; review Medalogix recommendation for use of CARE eligible episode.
• Ensure appropriate care types and pathways are selected based on the patient medical diagnosis(es) and staff assessment data.
• Process unlisted supplies, medications, activity, functional limitations, and allergies.
• Follow up on assessments that cannot be processed due to LP documentation deficiencies.
• Process HCHB workflow timely; including coordination notes and administrative tasks.
• Ensure average revenue per period is at or above company average.
• Ensure average functional score is at or above company average.
• Ensure average visits per period are at or below company average and applicable to patient needs.
• Attend and participate in monthly trainings with quality team.
• Provide education to field and office staff to meet patient needs; particularly with OASIS, coding and documentation standards
• Act on lead measures: ensure the branch and TCT are able to accomplish organizational goals
• Attend and participate in staff meetings and in-services, as assigned.
• Participate in continuous quality assessment and performance improvement activities as assigned.
• Complete all other duties as assigned in the CODER SOP.

Qualifications

• Must be licensed as a registered nurse (RN) in the state where they currently practice, or in accordance with the board of nursing rules for nurse licensure compact for the state where they currently practice.
• Must be a graduate of an approved school of nursing.
• Must be licensed in each state applicable to the required provision of services.
• Must have at least two years experience as a licensed professional.
• Previous experience in Home Care Home Base (HCHB) is preferred.
• Advanced computer skills preferred.

• Knowledge of OASIS
• Knowledge of CMS guidelines, & Quality Assurance & Performance Improvement
• Knowledgeable regarding current relevant standards of care and state and federal regulations as well as required compliance activities.
• Ability to set objectives and develop action plans.
• Ability to utilize data to improve results
• Ability to handle sensitive issues and resolve difficulties not routine in nature
• Ability to obtain cooperation from or influence others
• Must have positive and professional skills excellent communication and interpersonal skills.
• Proven ability to lead and develop personnel
• Ability to work independently
• Ability to manage remote teams

• Must pass a criminal background check & MVR check.
• Completed health statement acknowledging ability to perform the duties of the position.
• Valid state drivers license.
• Must maintain automobile liability insurance as required by law