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OASIS Review & 485 Specialist - PRN jobs in United States
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MatrixCare · 1 month ago

OASIS Review & 485 Specialist - PRN

MatrixCare is a dynamic software company focused on improving healthcare through innovative technology solutions. They are seeking an experienced OASIS Review Coding Specialist responsible for performing 485 Review, OASIS Review, and coding duties while providing excellent service to customers. This remote position offers flexibility and control over the assigned workload.
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H1B Sponsor Likelynote

Responsibilities

Coding level exceeds (or at minimum perform at required productivity levels equivalent of 8 completed 485 review or 10 completed OASIS Reviews per day for FT employees)
Extract clinical information from OASIS Assessment as well as a variety of medical records
Assign appropriate ICD-10 Code(s) based on medical records according to established procedures and coding guidelines
Suggest changes to OASIS responses based on documentation in the medical record according to established Oasis guidance
Recommend changes to the 485 locators based on clinical documentation and in accordance with COP’s
Works with external coding databases and industry accepted tools
Communicate with agencies effectively and provide excellent customer service
Work is completed and documented accurately and timely
Conducts peer audits as needed/assigned
Regularly provides feedback for processes and performance improvement
Quickly ascertain customer needs through research and communication and provide quality solutions

Qualification

OASIS ReviewICD-10 CodingHome Health Coding Certification HCS-DHome Health Coding Certification BCHH-COASIS Certification COS-COASIS Certification HCS-OEMR SystemsPDGMMedical TerminologyQuality AssuranceCase ManagementClinical Decision MakingMedical Coding Regulations

Required

Graduate of accredited school of professional nursing and BSN preferred
2 years of home health OASIS/485 review and coding experience
A thorough education in EMR systems, coding regulations, PDGM and medical terminology with proven coding capabilities
Certification in home health coding (HCS-D or BCHH-C in ICD-10)
Certification in OASIS (COS-C or HCS-O)
Ability to communicate effectively with agency staff, management, and other members of the team
The ability to make clear, decisive clinical decisions
Must understand the impact of clinical decisions as it relates to agency operations and financial impact
Must have the ability to justify and at times, defend clinical decisions and documentation
Exceptional computer, software and typing skills
Must have the ability to work independently, with dynamic and changing priorities while meeting or exceeding targeted event quota
Skilled in dealing with a high volume of competing tasks in a fast-paced environment. Strong focus on problem-solving initiatives and quick resolution
Detail-oriented as proper billing and reimbursement depend on coding expertise
Must comprehend the basics of medicine, such as anatomy, physiology, diseases, and diagnoses. This knowledge is essential for coders, as they will be required to accurately translate medical jargon into code
Organized, efficient and precise with strong communication and liaison skills, dependable and hard working with extensive background in quality customer support
Must comprehend the basics of home health and hospice business operations, insurance claims processes, and basic office procedures

Preferred

5 years' experience in home health and/or hospice preferred
Experience in quality assurance (QA) or case management a plus
Experienced in review of the 485 in line with industry and regulatory standards

Company

MatrixCare

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MatrixCare solutions have powered the long-term care continuum for over 30 years.

H1B Sponsorship

MatrixCare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
89%
Represents job field similar to this job
Engineering and Development
Management and Executive
Creatives and Design
Product Management
Trends of Total Sponsorships
*2026 (3)
2025 (8)
2024 (11)
2023 (11)
2022 (17)
2021 (14)
2020 (10)

Funding

Current Stage
Late Stage
Total Funding
unknown
2026-07-07Acquired

Leadership Team

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Jerry Dennany
Chief Technology Officer
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Erin Markoe
People Business Partner
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Company data provided by crunchbase