OASIS Review Specialist (Remote)
Why Choose ANC?
• Health Insurance Coverage: Stay healthy with comprehensive health insurance plans, providing you and your family with the care and peace of mind you deserve.
• Vision Insurance: Take care of your eyesight with affordable vision insurance, covering eye exams, glasses, and more.
• Dental Insurance: Keep your smile healthy with full dental coverage, ensuring your oral health is a top priority.
• Life Insurance: Enjoy $25,000 in company-paid life insurance coverage, giving you added security and peace of mind.
• Paid Time Off (PTO): Accumulate 13 days of paid time off over the course of one calendar year to relax, recharge, and focus on what matters most.
• Paid Holidays: Celebrate key holidays with 6 paid holidays throughout the year.
• Floating Holiday: Enjoy a special floating holiday to celebrate your birthday, because we believe in recognizing and honoring our employees.
• 401(k) Retirement Savings Plan: Build your future with a 401(k) plan, helping you save for long-term financial security.
About the OASIS Review Specialist Position:
Reports to: Director of Nursing
The OASIS Review Specialist is 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.
OASIS Review Specialist 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-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 organization leadership 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.
• Coordinates 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.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
OASIS Review Specialist Qualifications
• Registered nurse with current license to practice professional nursing in the state preferred.
• Working knowledge of OASIS and ICD-10 coding. OASIS certification (COS-C) preferred; OASIS Home Health ICD-10 coding certification preferred.
• Knowledge of federal regulations and state licensure requirements.
• Excellent coordination and communication skills.
• Detail oriented and able to work with minimal supervision.
Apply Now
• Health Insurance Coverage: Stay healthy with comprehensive health insurance plans, providing you and your family with the care and peace of mind you deserve.
• Vision Insurance: Take care of your eyesight with affordable vision insurance, covering eye exams, glasses, and more.
• Dental Insurance: Keep your smile healthy with full dental coverage, ensuring your oral health is a top priority.
• Life Insurance: Enjoy $25,000 in company-paid life insurance coverage, giving you added security and peace of mind.
• Paid Time Off (PTO): Accumulate 13 days of paid time off over the course of one calendar year to relax, recharge, and focus on what matters most.
• Paid Holidays: Celebrate key holidays with 6 paid holidays throughout the year.
• Floating Holiday: Enjoy a special floating holiday to celebrate your birthday, because we believe in recognizing and honoring our employees.
• 401(k) Retirement Savings Plan: Build your future with a 401(k) plan, helping you save for long-term financial security.
About the OASIS Review Specialist Position:
Reports to: Director of Nursing
The OASIS Review Specialist is 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.
OASIS Review Specialist 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-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 organization leadership 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.
• Coordinates 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.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
OASIS Review Specialist Qualifications
• Registered nurse with current license to practice professional nursing in the state preferred.
• Working knowledge of OASIS and ICD-10 coding. OASIS certification (COS-C) preferred; OASIS Home Health ICD-10 coding certification preferred.
• Knowledge of federal regulations and state licensure requirements.
• Excellent coordination and communication skills.
• Detail oriented and able to work with minimal supervision.
Apply Now