What are the responsibilities and job description for the QA Nurse position at Symbii Home Health and Hospice?
JOB SUMMARY
The OASIS Review Assistant 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.
The OASIS Review Assistant 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.
DUTIES & 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.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.
JOB REQUIREMENTS
- 1-2 years of experience of home health clinical, coding, or billing experience required.
- Working knowledge of OASIS and ICD-9/ICD-10 coding. OASIS certification (COS-C) preferred.
- OASIS Home health ICD-9/ICD-10 coding certification preferred.
- Knowledge of federal regulations and state licensure requirements.
- Docusign Envelope ID: 723F4187-F22E-4191-98FD-62EA3B821C7F
- 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.
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.
