Oasis Reviewer and Coder
Listed on 2026-01-12
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Healthcare
Healthcare Compliance, Healthcare Administration, Health Informatics, Medical Billing and Coding
Adara Home Healthcare provides a pay range of $55,000.00/yr - $75,000.00/yr for the Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance) role. Your actual pay will be based on your skills and experience.
Job Title: Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance)
Position Overview: The Home Health Quality Assurance Specialist ensures the accuracy, compliance, and quality of patient care documentation. Primary focus is on OASIS data, reviewing patient records, conducting QA checks, exporting OASIS items to Medicare, collaborating with clinical staff to meet regulatory standards, and optimizing patient outcomes.
Key Responsibilities:
- OASIS Data Review & Export: Review and validate OASIS assessments for accuracy and completeness before submission. Export OASIS data to Medicare ensuring compliance with CMS regulations. Address discrepancies or errors and collaborate with clinicians to correct inaccuracies.
- Quality Assurance & Compliance: Conduct regular audits of clinical documentation to ensure adherence to state, federal, and agency regulations. Monitor compliance with Medicare guidelines, especially around OASIS and other key reporting metrics. Implement quality improvement initiatives to enhance documentation practices and patient care outcomes.
- Training & Support: Provide training to clinical staff on accurate OASIS data entry and Medicare compliance. Stay updated on changes in Medicare regulations and OASIS requirements and communicate updates to relevant staff.
- Collaboration: Work closely with the clinical team to ensure patient assessments are properly documented. Collaborate with billing and reimbursement teams to ensure timely and accurate submissions to Medicare.
- Reporting & Analytics: Generate reports on OASIS data submissions and QA activities. Analyze trends in documentation errors or compliance issues and recommend strategies for improvement.
Qualifications:
- Experience or certification in QA and OASIS management.
- Strong knowledge of OASIS, Medicare, and CMS regulations.
- Experience in quality assurance, auditing, or compliance within healthcare.
- Attention to detail and ability to work with clinical documentation systems.
- Strong communication and collaboration skills.
Work Environment: In office position.
Location: Westminster, CO
Seniority Level: Entry level
Employment type: Full-time
Job function: Administrative
Industries: Home Health Care Services
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