QUALITY ASSURANCE RN HOMECARE&HOSPICE/OASIS REVIEWER

Overview

Looking for full-time work (8 hours/day)

at $7.40/hour ($1,302.40/month)

Bachelors degree

Last Active

May 16th, 2024 (12 days ago)

Member Since

April 24th, 2020

Profile Description

I am a OASIS Reviewer/QA Nurse who is responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes for Home health/Hospice agency. I ensure that appropriate ICD-10 coding and sequencing. I work with clinical staff to clarify documentation and data integrity issues.
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.Participates in Quality Improvement and Corporate Compliance activities as assigned.
8. Assists with other chart audit activities as assigned.