OASIS Review and Coding Specialist - Remote

BAYADA

Dallas Texas

United States

Customer Service / Call Center
(No Timezone Provided)

Must have COS-C or HCS-O or COQS and HCS-D or BCHH-C

$2,500 Retention Bonus

The Medicare Case Manager/Coder provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information Set (OASIS) documentation for quality and adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected to maintain ongoing communication with BAYADA’s service offices and assist the company in addressing and meeting business and development goals. This is a non-clinical role.Applicants must have active COS-C or HCS-O or COQS OASIS Certification AND HCS-D or BCHH-C Home Health Care Coding Certification to be considered for this role. BAYADA Perks:
  • This role is fully remote.  
  • Base Salary: $ 57,000-$58,000 /year depending on qualifications
  • Currently offering a $2,500 retention bonus . $2,500 retention bonus to be paid in 3 installments. $500 will be dispersed after completion of 90 days; $1,000 will be dispersed after 6 months, and another $1,000 after 12 months of continued employment.
  • Bonus Opportunity of $500/Quarter based on department metrics 
  • BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit, and employee assistance program
  • To learn more about BAYADA Benefits, .
  • Responsibilities:

  • Oversee the management of Medicare and PPS model clients from referral through final billing.
  • Perform final review and lock OASIS.
  • Prevent or decrease the occasion of Medicare denials by assuring proper coding and documentation on the plan of care/485.
  • Review clinical information for appropriateness, congruency and accuracy as it relates to the OASIS and 485 while using the Medicare PDGM model and CMS guidelines.
  • Review and communicate OASIS edit information to each service office to promote OASIS accuracy.
  • Provide support and communication to all disciplines within the service office.
  • Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues.
  • Provide ongoing communication with service offices via e-mail, zoom, or telephone (specific to the service office needs).
  • Timely review and coding of OASIS documents with productivity maintained at the weekly target set by the Director of MCM.
  • Communication with service offices monthly and as appropriate with a focus on documentation trends, star ratings and potential process issues.
  • Qualifications:

  • Four (4) year college degree preferred.
  • COS-C or HCS-O or COQS OASIS Certification 
  • HCS-D or BCHH-C Home Health Care Coding Certification 
  • Previous experience with OASIS and coding in the homecare setting is required.
  • Demonstrated record of strong interpersonal skills.
  • Candidates should be available Monday-Friday from 8:30am-5:00pm.
  • As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

    About BAYADA

    Founded in 1975 by J. Mark Baiada, BAYADA Home Health Care provides nursing, rehabilitative, therapeutic, hospice, and assistive care services to children, adults, and seniors in the comfort of their homes. BAYADA employs more than 26,000 nurses, home health aides, therapists, medical social workers, and other home health care professionals who serve their communities in 22 states from more than 350 offices, with locations in Germany, India, Ireland, New Zealand, South Korea, Canada, and the UK.

    In 2019, Baiada oversaw the company's unprecedented transition to a not-for-profit organization to ensure BAYADA's mission, purpose, and business model would endure, and to help BAYADA realize its vision of helping millions of people worldwide experience a better quality of life at home.

    BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers and qualified applicants will not be discriminated against on the basis of race, religion, gender and gender identity, nationality and origin, disability, sexual orientation, age, veteran status, and experiences.

    OASIS Review and Coding Specialist - Remote

    BAYADA

    Dallas Texas

    United States

    Customer Service / Call Center

    (No Timezone Provided)

    Must have COS-C or HCS-O or COQS and HCS-D or BCHH-C

    $2,500 Retention Bonus

    The Medicare Case Manager/Coder provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information Set (OASIS) documentation for quality and adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected to maintain ongoing communication with BAYADA’s service offices and assist the company in addressing and meeting business and development goals. This is a non-clinical role.Applicants must have active COS-C or HCS-O or COQS OASIS Certification AND HCS-D or BCHH-C Home Health Care Coding Certification to be considered for this role. BAYADA Perks:
  • This role is fully remote.  
  • Base Salary: $ 57,000-$58,000 /year depending on qualifications
  • Currently offering a $2,500 retention bonus . $2,500 retention bonus to be paid in 3 installments. $500 will be dispersed after completion of 90 days; $1,000 will be dispersed after 6 months, and another $1,000 after 12 months of continued employment.
  • Bonus Opportunity of $500/Quarter based on department metrics 
  • BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit, and employee assistance program
  • To learn more about BAYADA Benefits, .
  • Responsibilities:

  • Oversee the management of Medicare and PPS model clients from referral through final billing.
  • Perform final review and lock OASIS.
  • Prevent or decrease the occasion of Medicare denials by assuring proper coding and documentation on the plan of care/485.
  • Review clinical information for appropriateness, congruency and accuracy as it relates to the OASIS and 485 while using the Medicare PDGM model and CMS guidelines.
  • Review and communicate OASIS edit information to each service office to promote OASIS accuracy.
  • Provide support and communication to all disciplines within the service office.
  • Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues.
  • Provide ongoing communication with service offices via e-mail, zoom, or telephone (specific to the service office needs).
  • Timely review and coding of OASIS documents with productivity maintained at the weekly target set by the Director of MCM.
  • Communication with service offices monthly and as appropriate with a focus on documentation trends, star ratings and potential process issues.
  • Qualifications:

  • Four (4) year college degree preferred.
  • COS-C or HCS-O or COQS OASIS Certification 
  • HCS-D or BCHH-C Home Health Care Coding Certification 
  • Previous experience with OASIS and coding in the homecare setting is required.
  • Demonstrated record of strong interpersonal skills.
  • Candidates should be available Monday-Friday from 8:30am-5:00pm.
  • As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

    About BAYADA

    Founded in 1975 by J. Mark Baiada, BAYADA Home Health Care provides nursing, rehabilitative, therapeutic, hospice, and assistive care services to children, adults, and seniors in the comfort of their homes. BAYADA employs more than 26,000 nurses, home health aides, therapists, medical social workers, and other home health care professionals who serve their communities in 22 states from more than 350 offices, with locations in Germany, India, Ireland, New Zealand, South Korea, Canada, and the UK.

    In 2019, Baiada oversaw the company's unprecedented transition to a not-for-profit organization to ensure BAYADA's mission, purpose, and business model would endure, and to help BAYADA realize its vision of helping millions of people worldwide experience a better quality of life at home.

    BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers and qualified applicants will not be discriminated against on the basis of race, religion, gender and gender identity, nationality and origin, disability, sexual orientation, age, veteran status, and experiences.