Quality Assurance Specialist Horizon Home Health Twin Falls, Idaho

Horizon Home Health and Hospice • Twin Falls, ID

8h • $75,000 - $85,000

About The Position

The OASIS Review Specialist is responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes. This position will ensure appropriate ICD-9 – ICD-10 coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues.

Requirements

• 1-2 years of experience of home health clinical, coding, or billing experience required.
• RN, PT, OT, or ST license preferred.
• Working knowledge of OASIS and ICD-9/ICD-10 coding.
• Knowledge of federal regulations and state licensure requirements.
• Working knowledge of computer systems.
• Possess and maintains current CPR certification.
• Licensed driver with automobile that is in good working order and insured in accordance with organization requirements.
• Excellent coordination and communication skills.
• Detail oriented and able to work with minimal supervision.

Nice To Haves

• OASIS certification (COS-C) preferred
• OASIS Home health ICD-9/ICD-10 coding certification preferred

Responsibilities

• Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
• Utilizes OASIS variation or alert reports when reviewing OASIS data.
• Ensures appropriate ICD-9 – 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 organization policy.
• Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
• Notifies OASIS Review Nurse and Agency Managers of problematic trends as a result of OASIS review.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees