QA Registered Nurse (RN)
Sequoia Home Health•Mississippi, MS
•$85,000 - $90,000•Remote
About The Position
The OASIS Review Nurse is a professional, registered nurse responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes. This position will ensure appropriate ICD-10 coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues.
Requirements
- Registered nurse with current license to practice professional nursing in the state.
- Bachelor’s degree required
- 2-5 years of clinical home health experience required.
- Working knowledge of OASIS and ICD-10 coding.
- Knowledge of federal regulations and state licensure requirements.
Nice To Haves
- OASIS certification (COS-C) preferred
- OASIS Home health ICD-10 coding certification preferred.
Responsibilities
- Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and Seaport Scripps Home Health.
- Utilizes OASIS variation or alert reports when reviewing OASIS data.
- Ensures appropriate ICD-10 coding and sequencing as it relates to the patient’s medical condition, including any co-morbidities.
- Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per Seaport Scripps Home Health.
- Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the Clinical Supervisor/designee.
- Notifies Seaport Scripps Home Health leadership team of problematic trends as a result of OASIS review.
- Works with managers to address trends that affect the agency’s outcome and process measures noted during OASIS/ review.
- Makes OASIS inter-rater reliability visits with clinical staff.
- Participates in Quality Improvement and Corporate Compliance activities as assigned.
- Assists with other chart audit activities as assigned.
- Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.
Benefits
- Competitive pay rates.
- Supportive, mission-driven team culture.
- Mileage reimbursement and mobile documentation tools.
- Opportunities for growth and learning.
- Freedom to innovate and serve your community.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
