Medical Coder, Oasis Auditor – RN

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Conduct comprehensive audits of OASIS assessments, clinical documentation, and ICD-10 coding to verify accuracy, completeness, and compliance.

• Examine Start of Care, Recertification, Discharge assessments, Plans of Care (485), visit notes, and accompanying documentation for adherence to regulations.

• Confirm the accuracy of coding and ensure the correct assignment of diagnoses in accordance with home health guidelines.

• Maintain compliance with Conditions of Participation (CoPs) and Conditions of Payment.

• Identify gaps in documentation, coding inconsistencies, and compliance risks; offer actionable feedback and corrective recommendations.

• Collaborate with clinical, coding, and compliance teams to enhance the quality of documentation and coding practices.

• Assist in Quality Assurance and Performance Improvement (QAPI) initiatives and ensure readiness for regulatory compliance.

• Execute follow-up audits and oversee corrective action plans to guarantee ongoing compliance.

• Keep abreast of CMS guidelines, OASIS updates, and coding regulations pertinent to home health.

⛳️ Requirements

• Bachelor’s degree in Nursing, Health Information Management, or a related healthcare field is preferred.

• A minimum of 3–5 years of experience in home health coding, OASIS review, or clinical auditing.

• In-depth knowledge of ICD-10 coding guidelines and CMS home health regulations.

• Proficient in OASIS documentation and auditing processes.

• Familiarity with EMR/EHR systems and auditing tools.

• Exceptional analytical, communication, and attention-to-detail skills.

• Required Certifications: OASIS Certification: Candidates must possess either the Certificate for OASIS Specialist–Clinical (COS-C) or Home Care Clinical Specialist—OASIS (HCS-O). Coding Certification: Candidates must hold either the Home Care Coding Specialist—Diagnosis (HCS-D) or Board Certified Home Health Coder (BCHH-C).

🏝️ Benefits

• Health insurance

• Flexible working environment