About the role
OASIS REVIEWER
–
HOME HEALTH
POSITION
SUMMARY
:
The
OASIS Reviewer
is responsible for
analyzing the data integrity and consistency of OASIS documentation and assessment processes.
Working
u nder the direct supervision of the
Coding and OASIS Manager
- of Synergy Shared Services (SSS)
- and
- collaborating
- with
- agencies
- within the
- scope of work,
- t his role
- will
- be vital in ensuring the accuracy and reliability of the OASIS documentation process.
ESSENTIAL RESPONSIBILITIES AND DUTIES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING
:
- Prospectively review all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and
- agency
- policy.
- Utilize OASIS variation or alert reports when reviewing OASIS data.
- Consult with appropriate clinical staff to clarify any data integrity issues and work with clinician to make appropriate corrections per
- agency
- policy.
- Review visit utilization for appropriateness of care guidelines and patient condition; report potential financial losses and/or underutilization to the
Coding and OASIS Manager
- ,
- C linical
- M anager
- and/or
- designee.
Notif
- y
- Coding and OASIS Manager,
- C linical
- M anager
- and/or
- designee
- of problematic trends as a result of OASIS review.
- Participate in Quality Improvement and Corporate Compliance activities as assigned.
- Assist with other chart audit activities as assigned.
- Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.
Understand and demonstrate
CAPLICO values
.
Other
duties
and special projects as assigned .
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
QUALIFICATIONS
&
REQUIREMENTS FOR THE POSITION
Working knowledge of OASIS process.
Understanding of
- federal regulations and state licensure requirements
- for home health.
- Must be self-motivated and able to work independently while being collaborative and able to work as part of an interdisciplinary team.
- Outstanding written and verbal communication skills.
- Must have strong computer skills to utilize Microsoft Outlook and
- agency
- systems.
Understanding of the legal and regulatory framework governing the home health industry
.
Current Driver’s License, vehicle insurance, and access to a dependable vehicle or public transportation.
PREFERRED KNOWLEDGE AND SKILLS
At least two (2) years of home health clinical, coding, or billing experience.
OASIS
certification (COS-C) .
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at
http://www.pennantgroup.com.