HOSPICE MEDICAL RECORD REVIEWER - RN Job Listing at Liberty Health in Wilmington, NC (Job ID 6033194-2024-10-28)

Description

Liberty Cares
With Compassion

At Liberty Hospice we understand the unique needs of our patients and families facing terminal illness. That is why Liberty Hospice provides our hospice patients with state-of-the-art care and pain management services, delivered by our specially trained staff with emphasis on strength, dignity and compassion.

We are currently seeking an experienced:

HOSPICE MEDICAL RECORD REVIEWER - RN

Full Time, Days

Job Summary:

• Ensure review for complete and accurate ICD-10 coding of hospice records following coding guidelines for assigned chart reviews
• Collaborate as directed by Reimbursement/Appeals Department with Staff Development when trends are identified and additional education needs are identified.
• Demonstrates knowledge and understanding of audit tools and utilizes these tools daily for complete and accurate auditing of all assigned medical record reviews.
• Demonstrates an understanding of applicable regulations, accreditation regulations, licensure, Conditions of Participation regulations and Liberty Homecare and Hospice established policies.
• Applies knowledge of clinical standards of care for all disciplines as the medical record is coded/audited to ensure evidence based care is being planned and delivered.
• Notify offices/clinicians of any deficient findings via email and follow up timely to correct deficiencies/errors.
• If offices/clinician do not respond timely, notify HH Audit Appeals and Documentation Compliance Lead Nurse.
• Keep Clinical Managers, Administrators, Clinical Director, Reimbursement/Appeals Director, Vice President and President informed of educational needs identified as part of the auditing/coding process.

Job Requirements:

• Associate Degree in Nursing with 3 years of hospice care and experience in medical coding for home health and hospice preferred.
• Must possess strong computer skills to include working knowledge of commonly used software programs such as Microsoft Word, Excel, etc.
• Requires strong interpersonal skills to work effectively and professionally with clinical staff and branch management staff daily.
• Must be able to prioritize work assignments and be flexible to change assignments per Supervisor's direction with minimal notice. Must be able to complete work assignments within a specified timeframe.
• Must have the ability to objectively and subjectively translate clinical information into statistical data.
• Requires in-depth working knowledge of hospice regulations to include licensure, conditions of participation and accreditation standards as well as regulations related to reimbursement per payer source and ICD-10 coding.
• Must be able to consistently exercise intellectual judgment regarding clinical practice as reflected in documentation within medical record.
• Must possess strong critical thinking and communication skills (oral and written) and be literate in the English language. Must be able to write and/or type.

Visit www.libertyhomecare.com for more information.
Background checks/drug-free workplace.
EOE.

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