Oasis Coding Specialist (58159)

Interim HealthCare - Great Lakes Health Partners•Madison, WI

8d•$31 - $36•Remote

About The Position

Responsible for the organization, development and monitoring and management of the Quality Assessment and Performance Improvement (QAPI) program for Interim Healthcare. Responsible for coordinating the QAPI program for home care and hospice operations.

Requirements

Nurse experience preferred with active license in the state(s) in which they are employed and practices.
Strong attention to detail and experience working within a highly regulated industry
One (1) year QA experience within the last five (5) years.
Case Management experience as defined by the contracting employer preferred
Certification as an OASIS Specialist-Clinical (COS-C) and Home Care Clinical Specialist – OASIS (HCS-O) required.
Working knowledge of CMS Condition of Participation in Home Health Services is require
Able to effectively communication with clinical, non-clinical staff, providers, and or outside organizations.
Able to demonstrate skill in quality assurance review process.
Able to demonstrate skills in consultation, collaboration and systems management.
Working knowledge of federal and state home health licensure regulations is required
Knowledge of medical terminology, anatomy and physiology, compliance, and reimbursement guidelines are required
Sound computer skill and adaptability to home health documentation software is a must

Responsibilities

Complete all proper ICD-10 coding and review all OASIS assessments
Lock down all SOC, Recerts, follow-up, discharges, and ROC OASIS and POCs.
Manage the submission of OASIS and HIS/HOPE assessments for all agencies, ensuring timely submission within 30 days.
Foster a professional environment that supports employee development and achievement of organizational goals through training and educational resources
Utilize QAPI Plus (Centralized/Electronic QAPI Program) for data trending for the development of patient and employee education programs and QAPI initiatives, in partnership with the clinical management team.
Leverage the QAPI Plus application with VP of Quality to support audit management, infection control, medication management, incident reporting, performance improvement project (PIP) analysis, and survey readiness.
Collaborate with the VP of Quality to provide training for new and existing employees on OASIS, utilizing virtual platforms as needed.
Participate in Clinical Management team meetings as required.
Serve as a resource for current information on national, state, and regional requirements, standards, and clinical practice guidelines.
Coordinate with the VP of Quality, CSR Manager, and agency CSRs to ensure the timely completion of Additional Documentation Requests (ADRs).
Collaborate with Pre Claim Review (PCR) team to assist as needed in resolving issues related to non-affirmation during the PCR process.
Demonstrate ongoing professional development.
Complete additional assignments as requested.
Access personal health information (PHI) as necessary to perform job duties, in accordance with organizational and departmental guidelines.
Collaborate with agency leadership (Director, ADON, and Clinical Supervisor) to help conduct monthly and quarterly audits in accordance with the agency’s QAPI plan and schedule.