Senior Medical Coder
Compliance Reviewer at WellSky
March 12, 2022
The Sr. Medical Coder/Compliance Reviewer performs home health and hospice compliance audits to selected agencies. Reviews all documentation to ensure it follows Medicare guidelines/regulations and Conditions of Participation. While primarily working the weekday shift, evening, weekend and/or holiday coverage may be required to meet client contractual requirements.
This position requires the ability to make independent decisions regarding accurate compliance audits.
You will be responsible for the following:
Identify, review, interpret charts to ensure they meet Medicare Regulations
Identify areas that do not meet compliance with Regulations and CoPs and what a client can do to remedy the inaccuracy.
Must be a Registered Nurse with home health and/or hospice experience
Strong analytical skills
Superior attention to detail
Ability to quickly learn and efficiently navigate electronic medical records
ICD-10 Home Health Coding Certification (BCHH-C, HCS-D)
Current Knowledge of home care and hospice Conditions of Participation
Current Knowledge of home care and hospice Regulations
OASIS Certification (HCS-O, COS-C, COQS)