Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations.
Ensures appropriate ICD-10 coding and sequencing as it relates to the patient’s medical condition, including any co-morbidities.
Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections.
Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the Clinical Supervisor/designee.
Notifies leadership team of problematic trends as a result of OASIS review.
Participates in Quality Improvement and Corporate Compliance activities as assigned.
Requirements
Registered nurse with current license to practice professional nursing in the state.
Bachelor’s degree required
2-5 years of clinical home health experience required.
Working knowledge of OASIS and ICD-10 coding.
OASIS certification (COS-C) preferred; OASIS Home health ICD-10 coding certification preferred.
Knowledge of federal regulations and state licensure requirements.
Benefits
Competitive pay rates.
Mileage reimbursement and mobile documentation tools.