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Quality Review and Coding Specialist – Continuum of Care
SSM Health. Perform audits and code patient charts at appropriate timepoints in care .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding diagnoses and procedures according to established guidelines, with a strong focus on OASIS and ICD-10 standards. Proficient in data entry and statistical reporting while collaborating effectively with clinical staff and coders.
Highest-signal resume keywords
ICD-10 CodingOASIS KnowledgeCoding Guidelines ComplianceCertificate for OASIS Specialist-Clinical (COS-C)Data Entry Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10 CodingOASIS KnowledgeCoding Guidelines ComplianceStatistical ReportingData Entry
Tools & Technologies
Computerized Coding Equipment
Certifications & Qualifications
Certificate for OASIS Specialist-Clinical (COS-C)Home Care Clinical Specialist - OASIS (HCS-O)Home Care Coding Specialist - Diagnosis (HCS-D)Home Care Coding Specialist - Hospice (HCS-H)Registered Nurse (RN) License
Industry Keywords
Patient Chart AuditsQuality StandardsProductivity StandardsField Staff ConsultationClinical Documentation
About the role
Key responsibilities & impact- Perform audits and code patient charts at appropriate timepoints in care
- Review assessments and plans of care to ensure coded diagnoses accurately reflect documentation
- Code diagnoses and procedures in accordance with coding guidelines while meeting quality and productivity standards
- Assist field staff and leadership with OASIS, HOPE, and/or ICD-10 queries
- Assist coders and quality review staff in performing their duties
- Maintain and report statistical information when applicable
- Review daily reports to ensure all records are processed
- Consult with field clinical staff regarding ICD codes and sequencing
- Perform other assigned duties
Requirements
What you’ll need- Must reside in Missouri, Wisconsin, Oklahoma, Illinois, or Florida
- High School diploma/GED or 10 years of work experience
- Two years' experience
- Certificate for OASIS Specialist-Clinical (COS-C), or Home Care Clinical Specialist - OASIS (HCS-O), or Home Care Coding Specialist - Diagnosis (HCS-D), or Home Care Coding Specialist- Hospice (HCS-H), or applicable Registered Nurse (RN) license/certification for the state of work location
- Ability to commit to a minimum of 8 hours per pay period
- Ability to use computerized coding/abstracting equipment
- Knowledge of coding guidelines, OASIS, HOPE, and/or ICD-10
- Ability to perform frequent keyboard use/data entry
- Ability to meet physical requirements including lifting/carrying and pushing/pulling objects
Benefits
Comp & perks- Remote work arrangement
- PRN schedule with fill-in work as needed
- Equal employment opportunity