Conducts advanced work comp audits of itemized hospital bills and clinical records to check for billing accuracy, correct medical coding, and compliance to state regulations. Strong knowledge in reviewing high cost, complex billing practices including medical terminology, UB-04, ODG, and MS-DRG/APC reimbursement. Perform quality assurance reviews.
Responsibilities include teach patients and their caregivers to manage illnesses or injuries. My most common visits include case management, complete assessment, medication teaching and administration, drawing blood, Foley catheter insertion and management, wound care including wound vacuum, congestive heart failure and diabetic teaching along with care plan management. Devise and implement care plans based on individual patient assessment. Collaborate with physicians, social services, physical therapy, occupational therapy, speech therapy, and dietary to ensure that needs are being met appropriately. Thorough knowledge of Medicare home health regulations and Oasis.
Same job description as Mederi Caretenders.
Responsibilities included admitting post-op patients, complete assessment including monitoring remote telemetry patients. Also, patient education and medication administration which included pain management. Initiate, update, and resolve care plans. I am able to effectively program and monitor epidurals, femoral nerve blocks, multiple drains, PCA’s, traction, and continuous passive motion therapy. Occasional charge nurse responsibilities included bed management, inventory, and staffing assignment.