Live Quality Assurance Specialist ( RN ) - Home Care - REMOTE
Job Category : Operations Requisition Number : LIVEQ003684 Showing 1 location Job Details
Description
Summary :
Hiring for a fast paced and high volume role. Provides coding expertise to Agencies assigned for ICD-10 coding, reviewing OASIS, Plan of Care review, process & outcome measures, Star Rating items and all pertinent documentation to ensure accurate coding for each patient and ensures that all applicable Federal laws are followed.
Applied knowledge of medical terminology, disease processes, and pharmacology required. This individual will be required to make independent decisions regarding accurate ICD10-CM code assignments, OASIS and Plan of Care (POC) recommendations.
The Coder review will play a key role in determining the reimbursement potential of Pinnacle Home Care to which they are assigned and adherence to coding standards and regulations and corporate policies developed to ensure accurate billing.
Qualifications : *To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and / or ability required.*
Licenses / Certifications :
- Formal clinical background required, RN, with current state nursing license
- Nationally accredited Coding ICD-10 certification Required
- Nationally accredited OASIS Certification Required
- Valid drivers license and auto insurance;
- Must complete required departmental competencies to validate and maintain competency
Qualifications
Skills
Behaviors
Motivations
Education
Experience
Licenses & Certifications
Preferred
RN License
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