You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a dedicated Behavioral Health Registered Nurse with a strong background in medical coding, particularly within home health. This role involves comprehensive responsibilities related to ICD-10 assignment, ensuring documentation accuracy and compliance with CMS guidelines, and supporting billing operations. The ideal candidate will leverage their expertise to collaborate with clinical staff, resolve coding discrepancies, and contribute to quality assurance and continuous improvement.
Key Responsibilities
- Analyze clinical documentation to assign appropriate ICD-10 codes for home health episodes.
- Ensure coding reflects accurate primary and secondary diagnoses and comorbidities while aligning with OASIS assessments.
- Validate that documentation supports medical necessity and meets payer-specific requirements.
- Collaborate with clinicians to clarify documentation and resolve coding discrepancies.
- Maintain coding compliance with CMS guidelines, including Patient-Driven Groupings Model (PDGM) standards.
- Support the billing team by ensuring timely and accurate coding for claim submission.
- Utilize Home Care Home Base (HCHB) and Strategic Health Partners (SHP) to manage coding workflows and documentation.
- Assist in resolving coding-related claim denials and participate in appeals when necessary.
- Communicate proactively with clinical staff regarding documentation and coding needs.
- Participate in internal audits and quality reviews to ensure coding accuracy and regulatory compliance.
- Identify trends in documentation or coding errors and recommend corrective actions.
- Stay current with ICD-10 updates, CMS regulations, and industry best practices.
- Maintain HIPAA compliance and strict confidentiality of patient information.
- Assist in training new staff on coding protocols and documentation standards.
Qualifications
- Active certified coding credential required (e.g., CCS, CPC, or HCS-D).
- Minimum of 2 years of medical coding experience required.
Experience
- Minimum of 2 years of medical coding experience (home health coding experience is strongly preferred).
- Experience with Home Care Home Base (HCHB) is required or highly preferred.
Skills
- Proficiency in ICD-10 coding.
- Familiarity with OASIS assessments.
- Understanding of CMS guidelines and Patient-Driven Groupings Model (PDGM) standards.
- Experience with Home Care Home Base (HCHB) and Strategic Health Partners (SHP).
- Strong communication and collaboration skills.
- Ability to perform internal audits and quality reviews.
- Knowledge of HIPAA compliance.
Additional Requirements
- Fully remote role.
- Long term opportunity!
- Scheduled for Monday-Friday, 9:00 AM - 5:00 PM EST, with some flexibility offered.
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Hours Per Week
40 hours per week.
Start Date
ASAP
Certifications
- Active certified coding credential required (e.g., CCS, CPC, or HCS-D).
Required Employment / Compliance Language
Medix is an equal opportunity employer and does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
