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Home Health Care QA-Coder-and-Coding-Registered-Nurse-PPS-OASIS

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 QA Coder and Coding Registered Nurse, PPS, OASIS

Details
Country: USA
Location: Troy MI
Total applied: 40
Location:US-MI-Troy

Base Pay:N/A

Commission:
$0.00Employee Type:Full-Time Employee

Industry:Healthcare - Health Services Pharmaceutical

Manages Others:no
QA Coder and Coding Registered Nurse, PPS, OASIS

Allegiance Home Health Care was founded to provide full service and high quality health care to patients and clients in their homes. We provide a coordinated system of comprehensive, multidisciplinary health care services in a patients environment to promote, maintain and/or restore health, and minimize the effects of illness and disability on a per visit or continual care basis. Allegiance offers a Multi-Lingual Staff. We are also one of the most state of the art Home Health Care Companies that utilizes laptops for point of care to wireless technology as well as tel-health. This gives us the ability to properly equip our staff and give them the need for information at their fingertips. We offer a company website that gives our readers forthcoming events, descriptions, resources and also allows physicians, faculties and discharge planners to send a patient referral online as well as physicians the ability to sign the 485 on line. As a QA Personall you will: Under the direction of the Director of Case Management, the Clinical Case Manager serves as a resource to the health care team. Through assessment and evaluation of the Outcome Assessment Information Set (OASIS), clinical best practice parameters, ICD-9 coding and sequencing conventions, and knowledge of strategic business goals, the clinical case manager will: 1. Work within the guidelines of Medicare" Prospective Payment System (PPS) to assist in finding the most optimal solution to the patient" complex needs. 2. Make recommendations along with key location clinical leaders to determine the appropriate utilization of health care resources to achieve desired patient and clinical outcomes. Productivity: 1. Evaluates the Outcome Assessment Information Set (OASIS) and ensures consistent and uniformed interpretation of OASIS items. 2. Evaluate the patient" co-morbidities and disease process to ensure consistent and uniformed ICD-9 coding and sequencing methodologies. 3. Evaluate the clinical and functional domains on the OASIS to ensure consistent and standardized utilization guidelines. 4. Authorize visit frequency for each discipline involved in care delivery. 5. Communicates with key location clinical leaders within 24 hours of OASIS review to determine the appropriate utilization of resources based on home health utilization matrix. 6. Responsible for the evaluation of progress towards clinical goals to determine re-authorization of visit frequency per discipline. 7. Track, trend, and proactively determine complex and chronic cases that require more focused care management to prevent re-hospitalization and urgent/emergent needs. 8. Track, trend, and proactively determine complex and chronic cases that require recertification to meet progress towards goals. 9. Work collaboratively with key location clinical leaders to meet strategic business goals (recertification, gross margins, visit utilization, and accuracy of case mix). 10. Other duties as assigned by management. Required Skills: I. Technical 1. Solid basic computer skills (intermediate preferred) -knowledge of how to use drop down menus, a mouse, maximize and minimize screens, switch between open windows and programs, tab functions, cut and paste features, sending e-mail, attaching documents to e-mail. 2. Ability to type. 3. Ability to use a computer a must. II. Knowledge/Experience 1. Professional licensure-Registered Nurse. 2. Solid clinical experience. 3. At least 2 years of home health, disease management, or managed care experience. 4. Certification in case management, coding, or OASIS preferred and willing to obtain within 1 years of employment. 5. In-depth knowledge of coding, utilization management, and/or discharge planning. 6. Working knowledge of the home health Outcome Assessment Information Set (OASIS) tool. 7. Understanding of home health reimbursement structure (Prospective Payment System) from a clinical and disease management perspective. III. Abilities 1. Excellent communication skills, verbal and written, and ability to communicate effectively with individuals from various professional backgrounds. 2. Ability to plan strategically, to organize and prioritize work, and to exercise initiative to meet deadlines. 3. Ability to maintain a high degree of concentration due to complexity and volume of work. 4. Ability to be flexible, proactive, and positive and respond to the dynamics of a changing environment. 5. Ability to view health care changes as opportunities. 6. Ability to embrace diversity. 7. Ability to work in a multi-layered organization. 8. Excellent interpersonal skills to work harmoniously with others and ability to mentor, teach, and inspire. Benefits We recognize people as our most valuable asset. Our competitive salary and benefits package may include: medical, dental, vision, life and insurance; 401(k); paid time off; tuition assistance program and free CE credits As well as a Sign On Bonus. Position needed Full time positions Available: 1. QA Manager/Lead Salary range $50K to $70K depending on credentials, degree, experience and certification. Come join the top paying company that pays for all your hard work and the company who has been Listed in Crains Detroit for the past 2 years (2004 and 2005) for top 20 companies, awarded by MPRO in 2005 and labeled as one of the top leaders in Tele-health, and featured on the news as well as leading magazines CHECK OUT OUR SITE: www.allegiancecare.com DO NOT FORGET TO KEEP THIS SITE HANDY AND AS ONE OF YOUR FAVORITE LINKS TO VISIT FOR CURRENT AND FUTURE JOB POSTINGS: http://www.allegiancecare.com/jobs/index.asp just copy and paste the link above into your browser
REQUIREMENTS
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