Full employer posting
The RN - Education/Audit, HH will demonstrate competency in the care of the Neonate, Infant, Pediatric, Adolescent, Adult, Geriatric patient population. The RN – Home Health, Education/Audit also has responsibility for the implementation of the Agency's orientation of new employees and providing staff development education for staff members. Works with PI Coordinator to develop plans to continually improve patient care.
Participates in Training. The RN – Home Health, Education/Audit works with RNs and therapists to audit, and code for accuracy of patient data on 485s. Ensures appropriate documentation for billing of Private, State and Federal reimbursement.
Acts as a resource for staff related to the Agency computer system. Problem solves computer-related issues. Audits codes on all patient charts and documentation to ensure compliance with Medicare guidelines as well as coding guidelines.
The RN – Home Health, Education/Audit is responsible for all Medicare chart auditing to prepare to bill the claim. This individual participates in training all new employees on Allscripts System and coding requirements. Responsible for the transmission of OASIS for everyone's assigned submission.
Will ensure a final audit of all Medicare SOC's, recerts before RAP is submitted to make sure proper codes are listed on OASIS as well as 485. Communicates with agency managers TN/VA regarding problems or concerns of Certification and Audit Department. Works with other team members to ensure proper ICD-9 education and compliance with regulations.
Acts as system administrator for the Allscripts system. Spends time in each office to teach and audit. Each RN – Home Health, Education/Audit is responsible for a case loan of up to 500 patients.
This position may be required to cross train within the agency. Responsibilities in secondary position may require access to medical records and another computer access exceeding routine computer usage. The competency and practice of point of care testing is under the direct supervision of the Laboratory Medical Director and/or designee per regulatory rule # 1200-6-3-15 Alternate Site Testing, Section (1)(C), 9 of the Tennessee Medical Laboratory Board Division of Health Related Boards.
This practice is a collaborative process with the Laboratory and Nursing leaderships.
Associate's or Bachelor's degree from an accredited Nursing program. Completion of a Health Assessment course from a Nursing Education program is desired. Must have at least one year med/surg nursing and one year of home health nursing.
Two years home health nursing experience preferred. Must have dependable transportation. Must carry current personal collision and liability insurance on any vehicle driven.
Must maintain current driver's license in appropriate state. Licenses and
Valid and active RN licensure in appropriate stateCPR requiredValid and active driver's licensure Work
Day On Call: No Weekends: Rotating
No Travel Shift Details: 8a-5p Location: Home Health & Hospice
About the role
The RN - Education/Audit, HH will demonstrate competency in the care of the Neonate, Infant, Pediatric, Adolescent, Adult, Geriatric patient population. The RN – Home Health, Education/Audit also has responsibility for the implementation of the Agency's orientation of new employees and providing staff development education for staff members.