What are the responsibilities and job description for the CHHA OASIS Record Review Nurse position at Girling Health Care of New York?
JOB DESCRIPTION SUMMARY
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.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
1. Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
2. Utilizes OASIS variation or alert reports when reviewing OASIS data.
3. Ensures appropriate ICD-10 coding and sequencing as it relates to the patient's medical condition, including any co-morbidities.
4. Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy.
5. Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
6. Notifies organization leadership of problematic trends as a result of OASIS review.
7. Works with managers to address trends that affect the agency's outcome and process measures noted during OASIS review.
8. Makes OASIS inter-rater reliability visits with clinical staff.
9. Participates in Quality Improvement and Corporate Compliance activities as assigned.
10. Performs chart review/audit
11. Reviews records for Finance/billing department
12. Assists with other chart audit activities as assigned.
13. Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.
POSITION QUALIFICATIONS
1. Registered nurse with current license to practice professional nursing in the state.
2. One (1) to two (2) years of clinical home health experience required (CHHA only).
3. Working knowledge of OASIS and ICD-10 coding. OASIS certification (COS-C) preferred; OASIS Home Health ICD-10 coding certification preferred.
4. Knowledge of federal regulations and state licensure requirements.
5. Working knowledge of computer systems.
6. One (1) to two (2) years of clinical chart review/ audit experience required.
7. Licensed driver with automobile that is in good working order and insured in accordance with organization requirements.
8. Excellent coordination and communication skills.
9. Detail oriented and able to work with minimal supervision.
Position Benefits:
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.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
1. Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
2. Utilizes OASIS variation or alert reports when reviewing OASIS data.
3. Ensures appropriate ICD-10 coding and sequencing as it relates to the patient's medical condition, including any co-morbidities.
4. Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy.
5. Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
6. Notifies organization leadership of problematic trends as a result of OASIS review.
7. Works with managers to address trends that affect the agency's outcome and process measures noted during OASIS review.
8. Makes OASIS inter-rater reliability visits with clinical staff.
9. Participates in Quality Improvement and Corporate Compliance activities as assigned.
10. Performs chart review/audit
11. Reviews records for Finance/billing department
12. Assists with other chart audit activities as assigned.
13. Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.
POSITION QUALIFICATIONS
1. Registered nurse with current license to practice professional nursing in the state.
2. One (1) to two (2) years of clinical home health experience required (CHHA only).
3. Working knowledge of OASIS and ICD-10 coding. OASIS certification (COS-C) preferred; OASIS Home Health ICD-10 coding certification preferred.
4. Knowledge of federal regulations and state licensure requirements.
5. Working knowledge of computer systems.
6. One (1) to two (2) years of clinical chart review/ audit experience required.
7. Licensed driver with automobile that is in good working order and insured in accordance with organization requirements.
8. Excellent coordination and communication skills.
9. Detail oriented and able to work with minimal supervision.
Position Benefits:
- Health, Dental, Vision
- 401k Company match
- Paid holidays.
- PTO package
- Paid orientation
- Employee Referral Program
Salary : $90,000
