OASIS Nurse *1 Year of RN Home Health Experience REQUIRED. ICD-10 and OASIS preferred*

Position Summary

Responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes. Educates/works with clinical staff to clarify documentation and data integrity issues. Ensures appropriate coding and sequencing.

Job Responsibilities

• Responsible for detailed review of OASIS clinical assessment documentation to ensure appropriateness, accuracy, completeness and compliance.
• Consults with clinical staff. Provides educational guidance to clinicians on code selection, OASIS data item responses, documentation and Plan of Care development. Assures that documentation is consistent with the patient's condition and the reason for services provided.
• Capture the clinical severity for the level of service provided to ensure quality, cost effective care and compliance.
• Works with Agency leadership to address trends that affect the Agency's outcome and process measures noted during OASIS review.
• Provide education and act as a resource to clinicians, supervisors, office staff, and billing staff with regards to OASIS C requirements, CMS guidelines, home care ICD-10 coding, PPS guidelines and billing related issues.
• Assists the Finance Department in creating a Home Health Resource Group (HHRG) and Health Insurance Prospective Payment (HIPPS).
• Assists Agency leadership with achieving corporate goals, analyzing data, improving patient care outcomes and patient satisfaction. Participates in Agency quality assessment/performance improvement initiatives.
• Performs other duties as assigned.

Minimum Qualifications

• Bachelor's Degree in Nursing
• Current and valid NYS Registered Professional Nurse license and registration
• 1 - 2 years Home Health care experience
• Working knowledge of CMS, OASIS and ICD-10 Coding requirements
• Knowledge of Federal and NYS Department of Health regulations
• Knowledge of The Joint Commission requirements
• Able to promote and strengthen continuous quality improvement concepts
• Working knowledge of computer systems and electronic medical record
• Good communication and interpersonal skills
• Critical thinking
• Meticulous attention to detail

Preferred Qualifications

• OASIS C Certification (COS-C)
• ICD-10 Certification (HCS-D)
• 1-2 years OASIS review/Coding experience in a Home Health agency
• Qualified candidates must be able to effectively communicate with all levels of the organization

Pay

$119,101.60 - $130,000.00 Annually