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Lexington Health Network RN Reviewer & Coder in Lombard, Illinois

Teamwork is what we’re all about at Lexington Health Care, working together to achieve positive patient outcomes. We realize that when you collaborate, great things are possible; for your patients, and for your career. Lexington proudly employs more than 2,500 employees allowing us to provide an immeasurable value to the communities we serve. So much of who we are comes from being an organization dedicated to the highest attainable quality of care available today. In an industry filled with rapid change and growth, our commitment to family values will never change. As a family owned organization, we have always maintained a unique perspective. Our reputation as a leading health care employer is unmatched. Come see for yourself why it’s so fulfilling to be a part of Lexington!

We are seeking an Clinical Quality Specialist RN to review and code for our Home Health & Hospice division.

  • Performs quarterly record review audits for home health, hospice, and private duty service lines per LHN policy, Joint Commission standards, and State and CMS regulations.

  • Conducts thorough reviews of all available documentation to ensure accuracy of ICD-10 coding, OASIS and HIS data, and overall documentation quality.

  • Assists with coding all hospice cases

  • Reviews all home health discharges

  • Reviews home health Start of Care summaries that appear on the 485.

  • Ensures timely and accurate review of comprehensive assessments and all related documentation completed at Start of Care (SOC), Post Hospitalization/Resumption of Care (ROC), and Recertification/Follow-up including OASIS data and ICD-10 Coding.

  • Consults directly with clinical staff regarding integrity check findings as needed to ensure appropriate, accurate, and timely documentation.

  • Maintains ongoing communication with QAPI Manager, and clinical leaders regarding issues that arise during review processes.

  • Adheres to all confidentiality and HIPAA requirements as outlined within the company’s Policies and Procedures at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position.

  • Maintains compliance with the company’s policies, procedures and mission statement.

  • Identifies issues in documentation and reports to Quality Manager

  • Assists other team members when necessary.

  • All other duties as assigned.

  • Registered Nurse currently licensed in the State of Illinois

  • At least 2 years of home health nursing experience

  • Strong and recent working knowledge of OASIS and HIS data sets

  • Working knowledge of Home Health and Hospice Joint Commission, Illinois, and Federal standards and regulations

  • At least one year experience performing ICD-10 coding for home health and hospice

  • Excellent verbal and written communication skills

  • Strong organizational skills with the ability to manage and meet deadlines

  • Computer literate; especially Microsoft Word and Excel

  • ICD-Coding Certified coder

  • Oasis certified

Physical Requirements:

  • Requires frequent bending, reaching, standing, walking, squatting, sitting, kneeling, and repetitive hand movements including adequate manual dexterity.

  • Some unassisted lifting, pushing, and pulling may be required during normal work.

  • Employees are required to talk and hear, both in person and by telephone.

  • Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.

  • Ability to multi-task and deal effectively in stressful situations.

  • Visual/hearing ability sufficient to comprehend written/verbal communication.

We offer a professional work environment, growth and advancement, training, Competitive compensation and a benefits package including a comprehensive Medical, dental, and vision plan, voluntary benefits, Credit Union, 401(k) savings plan with company match, holiday pay and paid time off.

Lexington Health Network provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

iCIMS Requisition ID: 2019-5294

Street: 1300 S. Main Street

Work Schedule: Days