Quality Review Specialist

National Church Residences • Columbus, OH

122d

About The Position

The Quality Review Specialist is responsible for driving and improving quality measures and outcomes within assigned agencies, according to prescribed policies and procedures of the organization, including all applicable state, federal, and accreditation regulations. This position operates under the general supervision of the Regional Director of Ops and involves performing thorough audits of OASIS assessments and clinical documentation submitted by field staff to ensure accuracy, compliance, and alignment with OASIS guidance and industry standards. The role also includes tracking, trending, and reporting on documentation audit results, identifying areas for improvement, and generating and analyzing reports on quality measures, audit results, and compliance. The Quality Review Specialist will actively participate in the QAPI program and monitor changes in regulations and OASIS guidance, providing education and training to staff to ensure compliance. Collaboration with leadership and effective use of technology are also key components of this role.

Requirements

• High school diploma or GED required; Associate's degree preferred.
• OASIS and Coding certification required (e.g., COS-C, HCS-D, HCS-O).
• Minimum of two years’ experience in home care.
• Strong training background in assessments, clinical documentation, and coding.
• Excellent communication, comprehension, and interpersonal skills.
• Ability to speak, read, write, and understand English.
• Good working computer skills with basic professional software.
• Self-directed with excellent organizational skills.

Nice To Haves

• Experience with quality improvement programs.
• Familiarity with regulatory compliance in home health care.

Responsibilities

• Perform thorough audits of OASIS assessments and clinical documentation submitted by field staff.
• Track, trend, and report on documentation audit results, identifying areas for improvement.
• Generate and analyze reports on quality measures, audit results, and compliance.
• Develop and implement corrective action plans to address deficiencies.
• Monitor changes in regulations and OASIS guidance.
• Provide education and training to staff on documentation practices and coding guidelines.
• Collaborate with Directors of Clinical Management and other leadership team members.
• Utilize technology effectively, including Microsoft Office Suite and Home Care Home Base (HCHB) EMR.
• Provide backup support for the Coder and Director of Clinical Management.
• Maintain expert knowledge of reimbursement drivers and prepare the agency for changes.

Benefits

• Comprehensive training and development opportunities.
• Supportive work environment focused on employee growth.
• Opportunity to make a positive impact on senior care.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees