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Ensures the timely and accurate review of admission documentation and OASIS datasets, and 485/Plans of Care. Determines the accuracy of HHRG?s for all PPS case mixes, and reviews the financial and clinical appropriateness of ordered services. Completes ICD-10 coding according to current guidelines.Education: Graduate of a state approved school of nursing; BSN or upon hire BSN completion agreement for enrollment in an accredited BSN program
Work Experience: Minimum two years experience in home health care.; Computer data entry and word processing skills required.; Must have knowledge of Medicare guidelines, the OASIS data set and QI concepts.
License/Certification: Licensed as an RN in state of practice.; Current HCS-D certification, or willingness to obtain certification within one year.; OASIS certification required or must attain within three months of hire.