Medical Coder
Taio Connect Quezon City Full-time
About TAIO
TAIO is a bespoke BPO that builds and manages teams for companies around the world, from various industries including healthcare, non-life insurance, IT Consultancy among others. Our mission is to connect people who work together to grow and become successful.
Responsibilities and Duties- Reviewing and analyzing patient records from the Electronic Medical Record.
- Reviewing documentation and providing ICD-10 coding recommendations based on current coding, OASIS, and PDGM Guidelines.
- Collaborating with the clinicians to ensure a high level of accuracy of coding.
- Work closely with DON in the agency by assisting with each case for the QA, coding, and OASIS review process.
- Observing and reporting unusual patterns in data collection and/or lack of adequate documentation for code assignments.
- Communicating and working effectively with colleagues from other departments.
- Maintaining patient confidentiality and HIPAA information security during employment.
- Must be self-motivated, responsive, and committed to communicating with the management/supervisor closely.
- Must have 1-2 years experience as a "Home health" medical coder.
- Must have experience creating the CMS 485 or Plan of Care.
- Must have knowledge or background in reading visit Frequency and Duration.
- OASIS-E1 knowledge is a must.
- Updated in ICD-10-CM.
- Must be knowledgeable in navigating Kinnser EMR.
- Background with Case managing is a plus.
- Must be knowledgeable with visit notes and physician orders.
- Audit Oasis which includes (SOC, ROC, Recert, Discharge and transfer)
- Knowledge of Medicare guidelines and PDGM ICD 10 codes
- Enter missing medications based on the referral documents
- Review and check back notes if corrections were made
- Approve OASIS documentation when corrections are made
- Create CMS 485 / Plan of Care
- Creating necessary physicians order.
- Audit Skilled Nurse Visits
- Send SNV notes/corrections to clinician
- Run OASIS check and analysis
- Registered Nurse / Nursing degree
- Strong knowledge of clinical documentation, regulatory requirements, and quality assurance principles
- Ability to work independently and collaboratively
- Excellent communication, interpersonal, and analytical skills
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