OASIS Review Specialist (Remote)
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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.
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