Part Time OASIS CMS 485 Review Specialist Medical Billing and Coding
Benefits: • Competitive salary • Flexible schedule • Opportunity for advancement Part-Time OASIS & CMS 485 Review Specialist Medical Billing & Coding (Remote, Contract-to-Hire) Location: 100% Remote (U.S. only) Schedule: Part-time (appx 20 hrs/wk to start) Full-time potential within 36 months Compensation: $30$40/hr DOE (1099 or W-2) Start Date: Immediately The Role: We need a certified OASIS and CMS 485 ninja who lives for clean claims and audit-proof documentation. Youll start part-time reviewing OASIS assessments, finalizing CMS 485 Plans of Care, and coding/billing Medicare episodesall 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 (36 months): • Lead OASIS QA program • Train new clinicians/coders • Manage full billing cycle Must-Have 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 Nice-to-Have: • Experience with PDGM case-mix optimization • Prior remote auditing or consulting Why Join Us? • Start part-time, prove your value, go full-time (no politics, just results) • Zero commuting work in scrubs or pajamas • Direct impact your reviews keep clinicians paid and patients funded • Growth track QA lead, billing supervisor, or revenue cycle manager roles open This is a remote position.