Review and validate all assigned OASIS assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency. Code and sequence diagnoses per ICD-10 and CMS guidelines to ensure optimal reimbursement and quality measure alignment. Identify and correct errors impacting reimbursement, quality measures, or compliance before submission. Provide clear, actionable feedback to field clinicians with a focus on education and process improvement. Ensure all OASIS submissions meet current CMS, Medicare, and payer requirements. Stay current on OASIS updates and CMS guidance; communicate updates to clinical leadership. Support agency compliance with Conditions of Participation (CoPs) and internal quality standards. Identify recurring documentation trends and contribute recommendations for training and workflow optimization.
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Requirements
Active, unrestricted Texas or Compact RN license.
Minimum 2 years of home health experience.
ICD-10 Coding Certification (HCS-D or equivalent).
OASIS Certification (COS-C or equivalent).
Strong understanding of Medicare home health reimbursement and PDGM.
High attention to detail and strong clinical judgment.
Ability to work independently in a remote environment.
Excellent written and verbal communication skills.
Proficiency with EMR systems (HCHB preferred) and Microsoft Office.