Oasis Reviewer and Coder
Listed on 2026-01-12
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Healthcare
Healthcare Compliance, Healthcare Administration, Health Informatics, Medical Records
Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance)
Base pay range: $55,000.00/yr – $75,000.00/yr.
Join Adara Home Healthcare to help ensure high‑quality, compliant patient documentation. You’ll work closely with clinical staff to review, audit, and export OASIS data to Medicare, and you’ll play a key role in training, reporting, and ongoing improvement initiatives.
Position OverviewThe Specialist ensures the accuracy, compliance, and quality of patient care documentation, with a primary focus on OASIS data. The role involves reviewing patient records, conducting quality assurance checks, and exporting OASIS items to Medicare for compliance and reimbursement purposes. The specialist collaborates with clinical staff to meet regulatory standards and optimize 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, particularly 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 Medicare regulation changes 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 Medicare submissions.
- Reporting & Analytics
- Generate reports on OASIS data submissions and quality assurance activities.
- Analyze documentation error trends and recommend improvement strategies.
- 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.
In‑office position.
Seniority LevelEntry level
Employment TypeFull‑time
Job FunctionAdministrative
IndustriesHome Health Care Services
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