Oasis and Coding Specialist - RN

Seeking an Oasis and Coding Specialist to join our Oriol Home Health team. This is an excellent opportunity for a detail-oriented clinician with coding expertise to join Oriol Home Health as an OASIS and Coding Specialist. In this role, you'll play a vital part in ensuring accurate and timely documentation that supports high-quality care and proper reimbursement under Medicare guidelines. Oriol is a family-owned agency rooted in community care, offering a supportive environment that values learning, collaboration, and professional growth. If you're looking to make a meaningful impact while working alongside a team that takes pride in their work and treats each other like family, this is the place for you.

Pay Rate Range: $36.00 - $42.83/hr

Educational:

• HCS-D or BCHH-C certification
• HCS-O, COS-C or COQS certification

Experience:

• At least 1 year of experience medical coding and OASIS review work experience

Licensure:

• Active clinical license in nursing (RN) in Massachusetts.

Skills:

• High attention to detail with excellent organization skills
• Demonstrates learning agility; seeks out opportunities for teaching, support, and professional growth
• Knowledge of the Medicare PDGM billing model and CMS guidelines.

Essential Functions:

• Review OASIS and document recommended changes in approved system
• Review ICD-10 coding and sequencing from documentation in the patient chart
• Complete documentation of results review; ensure workflow processes are timely and accurate
• Document reason for change and recommended reimbursement impact.
• Review clinical information and documentation for appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.
• Review, edit, and approve Plans of Care (POCs) as appropriate on an individualized basis.
• Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy.
• Perform final review and lock OASIS timepoints.
• Research and identify documents that will serve as qualifying Face to Face.
• Review, edit, and approve interim orders.
• Timely review and coding of all OASIS timepoints with productivity maintained at the quarterly target set by agency leadership.
• Participate in staff education and training as needed including QAPI/PI.
• Other duties as assigned.