Oasis Reviewer and Coder

ADARA HOME HEALTHCARE LLC•Broomfield, CO

5h•Onsite

About The Position

The Home Health Quality Assurance Specialist ensures the accuracy, compliance, and quality of patient care documentation, with a primary focus on OASIS (Outcome and Assessment Information Set) data. This position involves reviewing patient records, conducting quality assurance checks, and exporting OASIS items to Medicare for compliance and reimbursement purposes. The specialist collaborates with clinical staff to ensure documentation meets regulatory standards and helps optimize patient outcomes and agency performance.

Requirements

Applicants must have OASIS and CODING experience in healthcare setting.
Experience or certification in QA and oasis management.
Strong knowledge of OASIS, Medicare, and CMS regulations.
Experience in quality assurance, auditing, or compliance within healthcare.
Attention to detail and ability to work with clinical documentation systems.
Strong communication and collaboration skills.

Responsibilities

Review and validate OASIS assessments for accuracy and completeness before submission.
Export OASIS data to Medicare ensuring compliance with CMS (Centers for Medicare & Medicaid Services) regulations.
Address any discrepancies or errors in OASIS data and collaborate with clinicians to correct inaccuracies.
Conduct regular audits of clinical documentation to ensure adherence to state, federal, and agency regulations.
Monitor compliance with Medicare guidelines, particularly around OASIS and other key reporting metrics.
Implement quality improvement initiatives to enhance documentation practices and patient care outcomes.
Provide training to clinical staff on accurate OASIS data entry and Medicare compliance.
Stay updated on changes in Medicare regulations and OASIS requirements and communicate updates to relevant staff.
Work closely with the clinical team to ensure patient assessments are properly documented and reflect the care provided.
Collaborate with billing and reimbursement teams to ensure timely and accurate submissions to Medicare.
Generate reports on OASIS data submissions and quality assurance activities.
Analyze trends in documentation errors or compliance issues and recommend strategies for improvement.