Northern Light Home Care and Hospice

Department: Quality Management

Position is located: Northern Light Home Care & Hospice So Portland

Work Type: Full Time

Hours Per Week: 40.00

Work Schedule: 7:30 AM to 4:00 PM

Summary :

The Coder I is responsible for exercising judgment in analyzing clinical documentation and accurately establishing diagnoses codes to maximize reimbursement. The Coder I appropriately applies official coding guidelines and relevant coding references to all home health, hospice, and palliative care coding scenarios. The Coder I collaborates with other teams to capture necessary quality measures. The Coder I participates in performance improvement initiatives and enhances coding knowledge and skill with continuing education.

Responsibilities:

• 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 health record as needed.
• Serves as a resource to agency staff and management in regard to the coding of patient diagnoses.
• Maintains knowledge of coding and clinical practice standards by accessing various media (i.e. Instant Oasis Answers, Q&As, Decision Health, and websites) to ensure current knowledge of procedures/national standards.
• Other duties as assigned.

Other Information :

• Current knowledge of CPT coding, diagnosis coding and home health and hospice coding guidelines is required
• Current HCS-D or equivalent certification

Competencies and Skills

• 2 years of relative work experience required.
• Achieves Results: Sets high standards for their own outcomes and seizes opportunities to engage others towards objectives. Consistently moves forward with direct actions in order to attain or exceed objectives. Manages their own time effectively to accomplish assigned tasks. Successfully prioritizes multiple projects and duties as needed.
• 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.
• Demonstrates Adaptability: Learns quickly when facing a new problem or unfamiliar task; is flexible in their approach with changing priorities and ambiguity. Manages change effectively and does not give up during adversity. Capable of changing one's behavioral style and/or views in order to attain a goal. Absorbs new information readily and puts it into practice effectively.
• Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level.
• Exercises Sound Judgment & Decision Making: Understands and processes complex information, which allows for appropriate and accountable conclusions. Does not react too quickly or slowly. Balances facts, goals, and potential approaches taking the appropriate criteria into account. Makes active decisions and commits oneself by communicating confidently and respectfully.
• 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.
• Human Capital, Supply Chain and Financial Software.
• Spreadsheet application with the ability to use calculations, formulas, graphing tools, pivot tables, and a macro programming.
• Email application with the ability to manage email as well as calendars, managing tasks and contacts, note taking, journaling, and web browsing.
• MS Teams
• 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.
• Zoom

Education

• Required High School Diploma/General Educational Development (GED)

Working Conditions

• Work with computers, typing, reading or writing.
• Lifting, moving and loading less than 20 pounds.
• Prolonged periods of sitting.