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.
Want more jobs like this?
Get Healthcare jobs in Manhasset, NY delivered to your inbox every week.
Job Qualification
- Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date.
- Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).