Oasis Reviewer - Home Health

Mosai

38d•Remote

About The Position

Mosai is hiring an Oasis Reviewer to perform clinical review and validation of OASIS assessments for contracted home health agency clients. The reviewer works with Mosai’s AI-assisted review platform and each client’s electronic medical record, using licensed clinical judgment to independently verify platform-generated findings against source documentation and develop clear, defensible recommendations. ICD-10 coding review may be assigned as a secondary scope depending on the reviewer’s credentials and the client’s purchased services. This is a production review role and is not client-facing. Questions, disagreements, and escalations go through Mosai clinical operations and the client services team. The role is remote, with occasional travel for training or team meetings and no required client-site visits. Applicants must reside in, or be willing to work from, one of the listed eligible states. A secure, private workspace and reliable internet connection meeting Mosai and client security standards are required.

Requirements

Active, unrestricted Registered Nurse (RN) license in the state or states necessary to support assigned client work.
Associate’s degree in Nursing.
Current COS-C (Certificate for OASIS Specialist – Clinical) or HCS-O (Home Care Clinical Specialist – OASIS) certification at the time of hire.
At least 3 years of clinical experience in Medicare-certified home health, including hands-on completion or review of OASIS assessments.
Hands-on experience with at least one major home health EMR, such as Homecare Homebase, WellSky, Axxess, or KanTime.
Working knowledge of PDGM, HIPPS and case-mix assignment, LUPA thresholds, CMS Conditions of Participation, and OASIS-based quality measures.
Ability to critically evaluate AI-generated findings and disagree with the platform when the record does not support them.
Strong written communication, high attention to detail, and ability to work independently in a remote environment while meeting daily throughput targets.

Nice To Haves

BSN.
Multi-state RN licensure or eligibility for licensure in additional states; Nurse Licensure Compact participation is preferred.
Current HCS-D (Home Care Coding Specialist – Diagnosis) certification for ICD-10 coding review as a secondary scope.
Both an OASIS credential and HCS-D; BCHH-C or COQS are considered equivalent credentials.
Dedicated OASIS review, QA, or clinical audit experience.
Experience in an outsourced, vendor, or multi-client review environment.
Hands-on experience with two or more major home health EMR systems.
Experience using clinical software, decision support, or AI-assisted review tools, and ability to learn new platforms quickly.
Residence in Nashville or Jacksonville.

Responsibilities

Review OASIS assessments for Start of Care, Resumption of Care, Recertification, Transfer, and Discharge against the current OASIS data set, CMS Guidance Manual, applicable skip logic, and CMS Quarterly OASIS Q&As.
Independently verify every AI-assisted platform finding against source documentation in the platform and, as required, the client’s EMR.
Check consistency between OASIS responses and the supporting record, with particular scrutiny of Section GG self-care and mobility items, cognitive and behavioral items, and case-mix-impacting M-items.
Apply PDGM requirements, including clinical grouping, functional impairment level, comorbidity adjustment, and LUPA exposure.
When credentialed, review primary and secondary diagnosis assignments against ICD-10-CM Official Guidelines and home health sequencing conventions as a secondary scope.
Escalate coding or OASIS conflicts to Mosai clinical operations.
Write recommendations identifying the item or code at issue, relevant supporting or conflicting documentation and its record location, applicable CMS or coding guidance, and clinical rationale; frame recommendations as compliant, non-leading requests that do not direct a specific response.
Enter recommendations through each client’s defined channel, meet contracted turnaround commitments, and track recommendations to closure.
Complete client-required onboarding and access provisioning before beginning work for each client agency.
Use protected health information only as necessary for assigned work and in accordance with HIPAA minimum necessary requirements and the applicable Business Associate Agreement; do not enter, alter, or fabricate clinical documentation.
Maintain accuracy at or above Mosai clinical quality standards, participate in calibration exercises, and report platform false positives, missed findings, and outdated guidance references.