HOME HEALTH CODER/OASIS (PT DAYS)

The Home Health Coder/OASIS is responsible for ensuring accurate and timely coding of home health services, including OASIS (Outcome and Assessment Information Set) data, in compliance with regulatory requirements and Riverside Healthcares standards. This role plays a critical part in the home health billing and reimbursement process, directly contributing to optimal patient care and financial outcomes. The ideal candidate will have a strong background in home health coding, be detail-oriented, and possess a deep understanding of OASIS documentation submission. 

Essential Duties

• Review, analyze, and code home health care documentation according to current coding guidelines and regulations.
• Ensure accurate and timely submission of OASIS assessments, collaborating with clinical staff to ensure completeness and accuracy.
• Monitor and audit coding practices to maintain compliance with Medicare, Medicaid, and other third-party payer requirements.
• Educate and provide feedback to clinical staff on coding documentation requirements to ensure accurate coding and billing.
• Participate in quality improvement initiatives to optimize coding accuracy and efficiency.
• Communicate with the billing department to resolve coding-related issues and ensure the correct reimbursement of home health services.
• Maintain up-to-date knowledge of coding regulations, OASIS submission guidelines, and home health industry standards.
• Assist in preparing for audits by providing necessary documentation and coding reports.
• Patient Feedback Outreach: Conduct follow-up calls to patients to gather feedback on their recent experience with our services, ensuring we consistently meet and exceed patient expectations. Document and relay feedback to appropriate team members to support continuous improvement and employee performance evaluations.
• Demonstrates flexibility with assignments within professional scope/duties/licensure.

Non-essential Duties

• Assist with other administrative tasks as needed, including data entry and clerical support for the home health department.
• Participate in staff meetings and ongoing education to stay current with industry practices.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so your journey at and away from work is remarkable.  Our Total Rewards package includes:

Compensation

• Base compensation within the position’s pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift differential, on-call
• Opportunity for annual increases based on performance

Benefits - .5 to 1.0 FTE

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Benefits - .001 to .49 FTE:

• Paid Leave Hours accrued as you work

Preferred Experience

• OASIS Certification (COS-C or HCS-O) is preferred.
• Minimum of 2 years of experience in home health coding, is preferred.
• Strong understanding of Medicare, Medicaid, and third-party payer regulations.
• Proficient in the use of electronic health record (EHR) systems and coding software.
• Excellent attention to detail, organizational skills, and the ability to work independently.
• Strong communication skills to effectively collaborate with clinical staff and other departments.

Required Licensure/Education

• High school diploma or equivalent required 
• Certification in Home Health Coding (HCS-D) or equivalent is required.

Preferred Education

• Associates or Bachelors degree in Health Information Management, Nursing, or a related field preferred.

Employee Health Requirements

Exposure/Sensory Requirements:

• Exposure to: 
• Chemicals: None 
• Video Display Terminals: Average 
• Blood and Body Fluids: None 
• TB or Airborne Pathogens: None

Sensory requirements (speech, vision, smell, hearing, touch): 

• Speech: Command of English language, good speaking skills for verbal communication with public and employees. 
• Vision: Required to see computer screens, papers, fax printer, written materials. 
• Smell: 
• Hearing: Must be able to hear for verbal and telephone communication. 
• Touch: Computer, telephone, handwriting Activity/Lifting Requirements

Percentage of time during the normal workday the employee is required to:

• Sit: 75%
• Twist: 0%
• Stand: 10%
• Crawl: 0%
• Walk: 5%
• Kneel: 2%
• Lift: 1%
• Drive: 0%
• Squat: 2%
• Climb: 0%
• Bend: 3%
• Reach above shoulders: 2%

The weight required to be lifted each normal workday according to the continuum described below:

• Up to 10 lbs: Continuously
• Up to 20 lbs: Occasionally
• Up to 35 lbs: Occasionally
• Up to 50 lbs: Not Required
• Up to 75 lbs: Not Required
• Up to 100 lbs: Not Required
• Over 100 lbs: Not Required

Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):

Maximum consecutive time (minutes) during the normal workday for each activity:

• Sit: 360
• Twist: 0
• Stand: 30
• Crawl: 5
• Walk: 10
• Kneel: 2
• Lift: 5
• Drive: 0
• Squat: 5
• Climb: 0
• Bend: 5
• Reach above shoulders: 5

Repetitive use of hands (Frequency indicated):

• Simple grasp up to 10 lbs. Normal weight: 5# continuously
• Pushing & pulling Normal weight: continuously
• Fine Manipulation: Telephone, sorting papers, computer entry, writing, using fax, printers, typing.

Repetitive use of foot or feet in operating machine control:

Environmental Factors & Special Hazards

Environmental Factors (Time Spent):

• Inside hours: 8
• Outside hours : 0
• Temperature: Normal Range
• Lighting: Average
• Noise levels: Average
• Humidity: Normal Range
• Atmosphere:
• Special Hazards:
• Protective Clothing Required: