Northern Light Home Care and Hospice
Department: Quality Management
Position is located: Northern Light Home Care and Hospice Bangor
Work Type: Part Time Eligible
FTE: 0.6 (24 hours)
Work Schedule: 7:30 AM to 4:00 PM
The Medical Coder is responsible for exercising judgment in analyzing clinical documentation and accurately establishing diagnoses codes in order to maximize reimbursement. The Medical Coder communicates clinician diagnoses recommendations to the clinician and clinical managers. The Medical Coder participates in performance improvement initiatives. Performance reflects the mission and values of Home Care & Hospice.
1. Coding Review- Exercise judgment in analyzing clinical documentation, to accurately establish diagnoses coding while maximizing appropriate reimbursement for the organization. • Reviews documentation and accurately applies diagnoses codes. • Problem solves and troubleshoots documentation for: coding discrepancies, logical inconsistencies, errors, and completeness. • Collaborates with clinicians and billing staff to resolve diagnosis coding issues. • Makes corrections in electronic medical record as needed. • Serves as a resource to agency staff and management in regard to the coding of client diagnoses. • Maintains knowledge of OASIS, coding, and clinical practice standards by accessing various media (i.e. newsletters and websites) to ensure current knowledge of procedures/national standards. 2. Performs additional duties as required or assigned.
Competencies and Skills
- Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.
- Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation.
- Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.
- Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.
- Required High School Diploma/General Educational Development (GED)
- A minimum of two years of coding experience or home health administrative experience. Current HCS-D or equivalent certification and/or ability to obtain HCS-D certification within 6 months of hire date. Demonstrates current knowledge of diagnostic coding and home health & hospice coding guidelines.
- Potential exposure to hazardous materials.
- Potential exposure to noise levels being uncomfortable.
- Potential exposure to noxious odors.
- Potential exposure to very hot or cold temperatures.
- Work with computers, typing, reading or writing.
- Lifting, moving and loading 20 to 30 pounds.
- Prolonged periods of sitting.
- Prolonged periods of standing.
- Prolonged periods of walking.