Northwell Health
Glen Cove, NY, USA
Job Description
Conducts Home Health Resource Group (HHRG) Validation to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.
Job Responsibility
Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.
Applies coding rules and regulations to the validation review process.
Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.
Instructs professional staff in code changes, as needed.
Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record.
Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations.
Reports to supervisor and visiting nurses those Medical Records that are deficient in diagnosis and clinical documentation.
Reviews Outcome...