[Hiring] Part Time OASIS CMS 485 Review Specialist Medical Billing and Coding @Qualicare, Frisco

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Role Description

We need a certified OASIS and CMS 485 ninja who lives for clean claims and audit-proof documentation. You’ll start part-time reviewing OASIS assessments, finalizing CMS 485 Plans of Care, and coding/billing Medicare episodes—all from home. As census grows, this role scales to full-time with leadership opportunities.

Day-to-Day (Part-Time Phase):

  • Conduct thorough OASIS start-of-care, resumptions, recerts, and discharges (accuracy ≥ 98%)
  • Review/revise CMS 485 Plans of Care for compliance and reimbursement optimization
  • Assign ICD-10, CPT, and HCPCS codes; scrub claims in [your EMR/billing system]
  • Flag and correct RAP/NOA errors before submission
  • Provide concise clinician education via email/Zoom (no field visits)
  • Prep for ADR, ZPIC, and TPE audits

Full-Time Path (3–6 months):

  • Lead OASIS QA program
  • Train new clinicians/coders
  • Manage full billing cycle

Qualifications

  • Active credential: COS-C or HCS-O (OASIS specialist)
  • CPC, CPC-H, or CCS-P (AAPC/AHIMA coding certification)
  • 3+ years home health OASIS review + CMS 485 finalization
  • Proven Medicare billing/coding experience (RAPs, NOAs, final claims)
  • EMR proficiency (Kinnser/WellSky)
  • U.S. work authorization & high-speed internet

Requirements

  • Experience with PDGM case-mix optimization
  • Prior remote auditing or consulting

Benefits

  • Competitive salary
  • Flexible schedule
  • Opportunity for advancement

This is a remote position.

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