RN Clinical Documentation Specialist; OASIS Certified

Company:
Compassus

Work Schedule:

Monday - Friday 8 a.m. to 5:00 p.m. PST

The Clinical Documentation Specialist RN (Registered Nurse) is responsible for the quality review of all OASIS documents and review of key elements of the Plan of Care to ensure CMS program compliance is met. The Clinical Documentation Specialist works closely with the Manager of Quality Improvement and Home Health leadership to promote regulatory compliance and excellent patient outcomes and reimbursement. The Clinical Documentation Specialist serves as a role model and Oasis expert to Home Health staff across the region.

• The job duties listed are essential functions of the position.
• However, other duties may be assigned and may also be considered essential functions of the position.
• The caregiver must be sufficiently fluent in the English language to satisfactorily perform the essential functions of the position.
• The degree of fluency required will vary depending upon the nature of the position.
• SERVICE Promotes caregiver satisfaction by personal example, treating all contacts with respect.
• Supports and participates in activities that foster customer service.
• Communicates and follows the organizational chain of command for notification of patient care/service issues, when appropriate.
• PEOPLE Maintains required applicable licensure, certification and education.
• Attends and successfully completes general and department orientation, in-service programs and the annual key competencies and mandatory update requirements.
• Participates actively in department staff meetings.
• Demonstrates effective verbal and written communications.
• Responsible for the timely review and processing of Start of Care, Resumption of Care, Recertification, and Significant Change in Condition Home Health OASIS Assessment documents and key elements of the Plan of care.
• Proficiency as a Clinical Documentation Specialist includes the ability to perform Discharge OASIS review accurately.
• Collaborates with leadership to analyze performance trends in OASIS accuracy; assists in determining learning needs for clinical staff.
• Educates and provides feedback to clinical staff in regards to correct completion of OASIS documents.
• Responsible for the review of all OASIS data items and ensures accuracy of OASIS based outcome measures to reflect accurate Home Health Quality of Care Star rating and Value Based Purchasing OASIS based component of TPS.
• Ensures Regulatory compliance with all OASIS conventions.
• Ensures timely processing of all OASIS documents to meet CMS guidelines and CMS billing requirements.
• Works in a virtual team environment in a manner that promotes team cohesiveness, efficiency, and productivity.
• Participates in team meetings, learning opportunities, and other educational opportunities as assigned.
• Demonstrates continuous learning of OASIS regulations and guidance to stay knowledgeable of current guidance with demonstrated ability to apply guidance to OASIS Review.
• Achieves and maintains proficiency in OASIS Review including Discharge OASIS Review.
• Performs other duties as assigned.

• Education to meet and maintain RN license requirements.
• 2 years Clinical Experience as a Registered Nurse.
• 1 year of Home Health Clinical Experience as a Registered Nurse.
• 1 year demonstrated proficiency in Home Health OASIS Review including all types of OASIS.
• Preferred:
  At least 3 months experience with an Electronic Medical Record (EMR) system.
• Preferred: OASIS Certification.
• Certifications, Licenses, and Registrations:
  Active and unencumbered Registered Nurse license.

• Mathematical
  
  Skills:
  
  Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language
  
  Skills:
  
  Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Computer
  
  Skills:
  
  Intermediate computer skills including Microsoft Outlook, Excel, Word, PowerPoint, and willingness to learn new information technology.
• Other
  
  Skills and Abilities:
  
  Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home…