Oasis Reviewer and Coder

Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance)

Base pay range: $55,000 - $75,000 per year. Actual pay based on skills and experience.

The Home Health Quality Assurance Specialist ensures the accuracy, compliance, and quality of patient care documentation, with a primary focus on OASIS data. Role involves reviewing patient records, conducting quality assurance checks, and exporting OASIS items to Medicare for compliance and reimbursement purposes.

• 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 in OASIS data and collaborate with clinicians to correct inaccuracies.
• Conduct regular audits of clinical documentation to ensure adherence to state, federal, and agency regulations.
• Monitor compliance with Medicare guidelines, particularly around OASIS and other key reporting metrics.
• Implement quality improvement initiatives to enhance documentation practices and patient care outcomes.
• 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.
• Collaborate with billing and reimbursement teams to ensure timely and accurate submissions to Medicare.
• Generate reports on OASIS data submissions and quality assurance activities; analyze trends and recommend strategies for improvement.

• 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.
• OASIS and coding experience in a healthcare setting.

In‑office position.