RN Home Health Care Nurse

Medical Review Nurse Coder (Home Health)

The Catholic Health Home Care Medical Review Nurse Coder is responsible for ensuring the accuracy, completeness, and regulatory compliance of home health clinical documentation prior to billing. This role reviews OASIS assessments, patient charts, Face-to-Face (F2F) encounters, physician orders, and Plans of Care to support Medicare Conditions of Participation, payer requirements, and timely reimbursement.

This role is essential to maintaining regulatory compliance, ensuring accurate reimbursement, and supporting high-quality, timely patient care in the home health setting.

Key Responsibilities

Review OASIS assessments for accuracy, completeness, and compliance

Audit patient records to ensure documentation supports billed services

Validate Face-to-Face (F2F) encounters for regulatory compliance

Review Plans of Care for accuracy, timeliness, and physician signatures

Ensure proper clinical coding and case-mix accuracy

Identify documentation gaps and coordinate corrections prior to billing

Support timely claim submission and reduce billing delays

Collaborate with clinical, coding, and billing teams to ensure compliance

Help prevent denials, audit findings, and revenue loss

Qualifications

Current NY Registered Nurse (RN) license required

Home health experience strongly preferred

Strong knowledge of OASIS, Medicare Conditions of Participation, and home health regulations

Experience with clinical documentation review, coding, or quality assurance preferred

Excellent attention to detail, critical thinking, and communication skills

Knowledge of EPIC preferred.

Posted Salary Range

USD $90,000.00 - USD $110,000.00 /Yr.

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job, and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

Catholic Health