Home Health Clinical Documentation Nurse (Work From Home)
TSG Outsourcing Taguig
How to Apply:
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HOME HEALTH CLINICAL DOCUMENTATION NURSE (WORK FROM HOME)
Rate: $4/hr and earn 40,000 PHP +/month
Schedule: Monday to Friday: 1:00 pm - 10:00 pm PST with 1 hour lunch break
Qualifications:
- Bachelor’s Degree in Nursing
- HUGE plus if a Registered Nurse in California
- Active PRC license
- Analytical, detail-oriented, organized, and can work well under pressure
- At least 1 year of experience (home health care or hospice)
- Working knowledge of rehab practices and procedures
- Understanding of therapy treatment plans
- Familiarity in navigating electronic medical records is a plus, but not required
- Understanding of ICD-10 coding, especially in the respective field a plus but not required
- Working knowledge of Medicare home health guidelines is a plus, but not required
- Working knowledge of home health and CMS requirements for OASIS and Plan of Care for both clinical and billing needs.
- Excellent written, oral, and interpersonal communication skills.
- Ability to comprehend clinical policies and criteria to articulate requirements surrounding health record information.
- Demonstrates proactive identification of problem areas and reports areas of concern to senior management.
- Intermediate computer skills, including Microsoft Outlook, Excel, Word, PowerPoint, and a willingness to learn new information technology, are required.
- Familiar with Kinnser EMR Software
Responsibilities:
- Ensures current and accurate clinical records in compliance with documentation requirements and program-specific rules for coverage and qualifying criteria
- Ensures clinical records are maintained in their original state and not improperly altered or fabricated. Able to perform OASIS SOC/ROC/Recertification reviews of past field staff visits
- Ensure compliance with all Federal, State, and local regulations and standards of practice
- Complies with Medicare, Medicaid, and State license requirements
- Reviews documentation for the necessity of services, quality care, and compliance with physician orders and the plan of care to ensure quality care and reimbursement
- Ensures accuracy of claims by providing necessary services with appropriate physician orders that substantiate a reasonable and necessary service need
- Creates clinical orders for clinicians to review/approve
- Follow up with Doctors' offices to get orders signed within the regulatory timeframe via phone, text, chat, and fax.
- Use electronic faxes to send/receive various documentation from doctors and other sources
- Communicate with field staff via phone, text, and chats. Pre-fill visit notes with necessary data
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