Oasis Reviewer

The Pennant Group • Synergy Shared Services-TX-Remote, TX

2d

About The Position

Synergy Shared Services is seeking a detail-oriented, analytically strong professional with deep knowledge of OASIS requirements to join their dynamic clinical quality and data integrity team as an OASIS Reviewer. This role supports Home Health agencies by ensuring the accuracy, consistency, and regulatory compliance of OASIS documentation. The position plays a critical part in safeguarding data integrity, supporting appropriate reimbursement, and strengthening quality outcomes across the organization. The OASIS Reviewer is responsible for the prospective review of OASIS assessments to ensure accuracy, completeness, and compliance with federal and state regulations, as well as agency policy. Working under the direction of the Coding and OASIS Manager and in close collaboration with agency clinical teams, this role serves as a key quality checkpoint in the home health documentation process. The position requires strong regulatory knowledge, clinical insight, and the ability to collaborate effectively with clinicians to resolve data integrity issues.

Requirements

• Working knowledge of the OASIS data set and assessment process.
• Strong understanding of federal regulations and state licensure requirements for home health.
• Knowledge of the legal and regulatory framework governing the home health industry.
• Ability to work independently while maintaining strong collaboration with interdisciplinary teams.
• Excellent written and verbal communication skills.
• Strong computer proficiency, including Microsoft Outlook and agency documentation systems.
• Valid driver’s license, vehicle insurance, and access to reliable transportation or public transportation.

Nice To Haves

• At least two (2) years of home health clinical, coding, or billing experience.
• OASIS certification (COS-C).
• Strong attention to detail and data integrity focus
• Regulatory and compliance expertise in home health
• Analytical thinking and issue identification
• Clear, professional communication with clinical teams
• Ability to influence documentation quality without direct authority
• Strong organizational and time management skills
• Commitment to quality improvement and compliance excellence

Responsibilities

• Prospectively review all OASIS assessments to ensure appropriateness, completeness, and regulatory compliance.
• Evaluate OASIS data for internal consistency, accuracy, and alignment with patient condition and care delivery.
• Utilize OASIS variation, validation, or alert reports to identify potential data integrity concerns.
• Ensure documentation supports accurate clinical representation and compliant reimbursement.
• Partner with clinicians and agency staff to clarify documentation discrepancies or data integrity issues.
• Provide guidance to clinicians on appropriate corrections in accordance with agency policy and regulatory standards.
• Support education and reinforcement of best practices related to OASIS completion and assessment accuracy.
• Review visit utilization for alignment with patient condition, plan of care, and clinical guidelines.
• Identify and report potential underutilization, overutilization, or financial risk to the Coding and OASIS Manager, Clinical Manager, or designee.
• Escalate trends that may impact reimbursement, outcomes, or compliance.
• Identify and communicate problematic trends or recurring issues identified through OASIS review.
• Participate in Quality Improvement and Corporate Compliance initiatives as assigned.
• Assist with additional chart audits or documentation reviews as needed.
• Maintain current knowledge of OASIS standards, regulatory changes, and industry best practices.
• Participate in ongoing education through workshops, training, and professional publications.
• Demonstrate and uphold CAPLICO values in all interactions and work practices.
• Perform other duties and special projects as assigned.

Benefits

• The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.
• Something that sets Synergy Shared Services apart from other companies is the quality of our most valuable resources – our people! We are dedicated to living out our culture as defined by our core values, “CAPLICO”: Customer Second Accountability Passion for Learning Love One Another Intelligent Risk Taking Celebrate Ownership By incorporating these principles at all levels of our organization, our employees feel valued and excited about their impact on our service center team members and operational partners. Our culture fosters excellence both personally and professionally and promotes development that leads to continued success.
• We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed