Medical Coder

Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of outpatient service visits. The position is also responsible for reviewing OASIS, Plan of Care and abstracting visit data for billing and data collection purposes.

Job Description: (Fresher)

  • Assigning appropriate diagnosis codes using ICD-10-CM and coding guidelines.
  • Prospectively reviews OASIS assessments and Plan Of Care to ensure appropriateness, completeness and compliance with federal and state regulations and organization policy
  • Queries clinicians regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record when needed.
  • Maintains daily productivity and turnaround times.
  • Staying current with abstraction/coding rules, manuals, and guidelines
  • Ensure that the deliverables to the client adhere to the quality standards
  • Ensuring compliance with medical coding policies and guidelines.

Job Description: (Experienced)

  • Accurately assign ICD-10-CM codes to diagnoses from the care plans and documentation submitted by the client.
  • Prospectively reviews OASIS assessments and Plan Of Care to ensure appropriateness, completeness and compliance with federal and state regulations and organization policy
  • Probe clients’ clinicians when code assignments are unclear or when documentation is inadequate or ambiguous.
  • Act as a subject matter expert regarding Coding and OASIS questions by clients and key stakeholders
  • Review and identify errors and report them to supervisor or department manager for follow-up.
  • Identifies trends in clinical documentation and/or potential problems and works with quality team to develop action plans to address opportunities for improvement.
  • Maintains daily productivity and turnaround times.
  • Assists with initial orientation and education/training of staff.
  • Reads and reviews coding guidelines, Medicare updates, professional journals, etc. to maintain an up-to-date working knowledge of coding and reimbursement principles.