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Quality Assurance Specialist

Pinnacle Home Care

Quality Assurance Specialist

Oldsmar, FL
Full Time
Paid
  • Responsibilities

    Job Description

    UNLIMITED PAID TIME OFF + FLEXIBILITY + WORK/LIFE BALANCE = PINNACLE HOME CARE CAREERS

    POSITION SUMMARY

    The Live QA Specialist provides coding expertise to Agencies assigned for ICD-10 coding, reviewing OASIS, Plan of Care review, process & outcome measures, Star Rating items and all pertinent documentation to ensure accurate coding for each patient and ensures that all applicable Federal laws are followed.

    JOB RESPONSIBILITIES

    • The Coder review will play a key role in determining the reimbursement potential of Pinnacle Home Care to which they are assigned and adherence to coding standards and regulations and corporate policies developed to ensure accurate billing.
    • Applied knowledge of medical terminology, disease processes and pharmacology required.
    • Required to make independent decisions regarding accurate ICD10-CM code assignments, OASIS and Plan of Care (POC) recommendations.
    • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

    QUALIFICATIONS

    • Formal clinical background required, LPN.
    • Must complete required departmental competencies to validate and maintain

    Company Description

    Our Mission at Pinnacle Home Care is Changing lives through the art of the experience!! Pinnacle Home Care is a full-service Medicare Certified and Florida Licensed Home Health Company locally owned and operated by a home health professional who are passionate about delivering exceptional, quality care to the communities that we serve. We take pride in our home health care professionals who are devoted to fulfilling the levels of service that we uphold. Human service can never be successful without dedication, just as dedication cannot be realized without passion.