Clinical Documentation Specialist RN

CompassusIrvine, CA
9d$80,000 - $90,000Remote

About The Position

The Clinical Documentation Specialist is responsible for the quality review of all OASIS documents and review of key elements of the Plan of Care to ensure CMS program compliance is met. The Clinical Documentation Specialist works closely with the Manager of Quality Improvement and Home Health leadership to promote regulatory compliance and excellent patient outcomes and reimbursement. The Clinical Documentation Specialist serves as a role model and OASIS expert to Home Health staff across the region.

Requirements

  • Active California RN license required.
  • Ability to align work schedule with Pacific Time Zone business hours.
  • Education to meet certification, license or registration requirement.
  • 2 years Clinical Experience as a Registered Nurse
  • 1 year Home Health Clinical Experience as an RN.
  • 1 year demonstrated proficiency in Home Health OASIS Review including all types of OASIS.
  • 1 year Experience with an Electronic Medical Record (EMR) system.
  • Must be a licensed Registered Nurse in state of California.

Nice To Haves

  • OASIS Certification.
  • Experience using Homecare Homebase (HCHB) EMR.

Responsibilities

  • Works in a virtual team environment in a manner that promotes team cohesiveness, efficiency, and productivity.
  • Responsible for the timely review and processing of Start of Care, Resumption of Care, Recertification, and Significant change in Condition Home Health OASIS Assessment documents and key elements of the Plan of Care.
  • Collaborates with leadership to analyze performance trends in OASIS accuracy; assists in determining learning needs for clinical staff.
  • Educates and provides feedback to clinical staff in regard to correct completion of OASIS documents.
  • Reviews of all OASIS data items and ensures accuracy of OASIS based outcome measures to reflect accurate Home Health Quality of Care Star rating and Value Based Purchasing OASIS Based component of TPS.
  • Ensures Regulatory compliance with all OASIS conventions.
  • Ensures timely processing of all OASIS documents to meet CMS guidelines and CMS billing requirements.

Benefits

  • Medical
  • Dental
  • Vision
  • 401k
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