RN Medical QA (OASIS) | Home Health | US Campaign | BPO

E-Teleconnect; Parañaque; Presencial; PHP 420.000 - 600.000; Jornada completa

Descripción de la vacante

E-Teleconnect is seeking an OASIS RN QA to review and ensure the accuracy, completeness, and compliance of OASIS-E1 documentation and associated narratives completed by field clinicians. This non-bedside role focuses on documentation governance, clinical accuracy, and risk mitigation.

You will monitor active patient charts in Axxess, identify gaps, and provide clear QA feedback to ensure readiness for billing. Requires RN license and 1.5 years in QA/coding/OASIS with strong documentation skills.

Formación

• Active, unrestricted Philippines RN license.
• 1-2 years bedside nursing experience.
• Minimum 1.5 years in QA/coding/OASIS (or equivalent).
• Experience with ICD-10 coding and clinical documentation QA/audit.
• EMR/EHR proficiency; Axxess experience preferred.

Responsabilidades

• Review OASIS-E1 SOC and ROC documentation for completeness, accuracy, and compliance.
• Validate and correct ICD-10 diagnosis coding based on referrals and records.
• Ensure visit documentation includes required clinical elements and accurate narratives.
• Provide QA feedback and return charts for correction as needed.
• Collaborate with Clinical Ops, Intake, Billing, and QA to ensure documentation readiness for billing.

Conocimientos

Clinical documentation

Chart review

ICD-10 coding

EMR/EHR

Axxess experience

Medical necessity

Written communication

Educación

Philippines RN license

Herramientas

Axxess

Descripción del empleo

Job description:

OASIS RN QA

• Department: Clinical Quality / OASIS QA
• Employment Type: Full-time
• Location: Parañaque City - On-site.
• Reports to: Clinical Supervisor/Nursing Supervisor

Job Overview

The OASIS QA Registered Nurse is responsible for reviewing and ensuring the accuracy, completeness, and compliance of OASIS-E1 documentation and associated clinical visit narratives completed by field clinicians.

This role supports regulatory compliance, payer requirements, and internal documentation standards through structured chart review, ICD-10 coding validation, and real-time monitoring of visit documentation for active patients.

This is a non-bedside, quality assurance role focused on documentation governance, clinical accuracy, and risk mitigation.

Key Responsibilities

• Review OASIS-E1 Start of Care (SOC) and Resumption of Care (ROC) documentation for completeness, accuracy, and compliance
• Validate and correct ICD-10 diagnosis coding based on referral documentation,MD orders, and clinical records
• Ensure all visit documentation includes required clinical elements:wound status update (with photo if applicable)

• - vital signs, visit events, medication reconciliation, general health assessment (pain, cardiovascular, neurological, GI/GU,integumentary), skilled interventions performed, patient/caregiver education, EVV / visit verification

• Review and complete clinical narratives for assigned SOC and ROC charts
• Monitor active patient charts in Axxess in real time to ensure visit documentation is complete and compliant
• Identify documentation gaps and return charts for correction with clear QA feedback
• Flag and escal ...?
• Collaborate with Clinical Operations, Intake, Billing, and QA teams to ensure documentation readiness for billing

Scope of Review

Included:

• OASIS-E1 Start of Care (SOC)
• OASIS-E1 Resumption of Care (ROC) (within 7 days of facility discharge)

Excluded:

• Recertifications
• Discharges
• Routine non-OASIS visits (except for visit documentation QA monitoring)

Volume & Turnaround Expectations

• QA reviews are based on all active patients within Axxess, not assigned patient panels
• Workload is dependent on daily visit frequency and census
• Clinical narratives must be completed within 48 hours of submission
• Visit documentation QA monitoring is expected in real-time / same-day review visibility

Required Qualifications

Education & Licensure : Active, unrestricted Philippines Registered Nurse (RN) license

Minimum Required Experience

Candidate must meet the following combined experience structure:

Clinical (Bedside) Experience

Minimum 1-2 years bedside nursing experience

• Acceptable clinical areas include:
  • o Medical-Surgical
  • o Emergency Room
  • o Operating Room
  • o Orthopedics
  • General Surgery
  • o Stepdown / ICU

QA / Coding / OASIS Experience — REQUIRED

• Minimum 1.5 years experience in at least one of the following:
• OASIS documentation review
• ICD-10 coding (home health or post-acute)
• Clinical documentation QA / audit

Core Skills

• Strong clinical documentation and chart review skills
• ICD-10 coding familiarity and validation skills
• EMR/EHR proficiency (Axxess experience preferred)
• Strong understanding of medical necessity and skilled documentation
• Strong written communication and structured clinical writing
• Ability to provide clear, constructive QA feedback

Preferred (Not Required)

• Home health or post-acute care experience
• Medicare / Medi-Cal documentation standards knowledge

Scope Limitations

• No direct patient care
• No case management assignment
• No clinician supervision responsibilities

Acceptable Experience Combinations

The following ratios are acceptable:

• 1:1.5 (Bedside: QA/Coding/OASIS)
• 1.5:1.5
• 2:1.5 or higher

Candidates with less than 1 year bedside experience, or less than 1.5 years QA/coding/OASIS experience will not be considered.