Performance Improvement & Education Specialist, 40hrs, Days
About The Position
Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. This position is responsible for promoting optimal competency in OASIS and clinical documentation through educational support and guidance. Ensures the integrity of clinical documentation ongoing and compliance with regulations. Promotes quality and performance improvement activities organization wide. Maintains knowledge of current laws and regulations of federal, state, and regulatory bodies relative to home health and hospice. Works within those constraints to maintain actions within the agency’s and corporation’s compliance programs.
Requirements
- Bachelor's degree in Occupational Therapy, Physical Therapy, or Associate Degree in Nursing.
- Current Massachusetts Occupational Therapist, Physical Therapist, or Registered Nurse (RN) license.
- Certificate for OASIS Specialist-Clinical (COS-C) or obtained within six (6) months of date of hire
- Minimum two (2) years of experience in ICD-CM (current edition) coding and OASIS review in a Home Health setting
- Ability to work independently and as a team member
- Must be flexible and adaptable to changing work priorities
Nice To Haves
- If RN, Bachelor of Science degree in Nursing.
- Medical coding certification and training in medical terminology from an accredited program. Recognized programs include: American Health Information Management Association (AHIMA), National Healthcareer Association (NHA), and American Academy of Professional Coders (AAPC).
Responsibilities
- Reviews and scores 100% of Start of Cares (SOC) on new clinicians until deemed competent evidenced by score on SOC audit tool averages 94%; and 485 POC completed accurately.
- Reviews 10% clinicians SOC’s once deemed competent.
- Reviews Recertification’s, Discharge OASIS, and Transfer OASIS to reflect 10% of clinician’s yearly discharges/transfers/re-certifications.
- Tracks and trends review results by individual – forwarding to Clinical Manager. Conferences/Educates clinicians re: deficiencies/corrections to be made.
- Notes trends in deficiencies of documentation and communicates to the Executive Director and participates in the educational plan for staff.
- Functions as a resource person to the Nurse and Therapists regarding documentation requirements.
- Assists in ongoing education and support of clinical staff in the accurate completion of the OASIS and supportive documentation at all time points.
- Serves as a resource for clinicians and clerical for troubleshooting documentation related problems, such as OASIS Errors and Medical Diagnosis exceptions.
- Assists Executive Director/Diretor in job related activities as needed.
- Keeps current with “Best Practices” regarding disease processes and documentation practices through readings and attendance at in-services.
- Knowledgeable regarding agencies policies, procedures, accreditation bodies, state and federal regulations.
- Reviews and processes audit activities such as ADR’s and external medical record requests.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Number of Employees
5,001-10,000 employees
