Home Health RN QA & Compliance Reviewer (OASIS/Coding)

Compassionate Home Health Ltd; Roseville (CA); On-site; USD 52,000 - 62,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Five days of sick leave

401(k) with 4% company match

Paid holidays

Professional development and CE

Job summary

Compassionate Home Health LTD in the Greater Sacramento area is seeking an experienced Registered Nurse to join as a full-time Home Health Quality Assurance Reviewer. The role focuses on strengthening clinical documentation, OASIS accuracy, coding, and compliance across home health services for high-quality patient care.

The reviewer will assess OASIS assessments, diagnoses, and plans of care, communicating findings to clinicians and guiding documentation improvement with education and feedback.

Qualifications

• Current, unrestricted RN license in CA.
• Experience validating and improving OASIS documentation.
• Knowledge of Medicare home health eligibility and POI requirements.
• Experience reviewing ICD-10-CM coding and sequencing in home health records.
• Ability to communicate findings to clinicians clearly.
• Ability to organize review work and meet deadlines.
• OASIS/home health coding certification preferred.

Responsibilities

• Review OASIS assessments for completeness, accuracy and consistency.
• Review diagnoses, ICD-10-CM coding, sequencing and severity for consistency with records.
• Identify missing or unclear documentation and request corrections.
• Review plans of care, orders, notes, and medication profiles for completeness.
• Assess documentation supports homebound status, medical necessity, and skilled services.
• Ensure alignment with Medicare home health requirements and ACHC standards.
• Prepare records for ADR, pre-claim reviews and other payer reviews.
• Track findings, corrections and recurring documentation trends.
• Provide education and feedback to staff on documentation quality.
• Collaborate with leadership on quality improvement and audit readiness.
• Protect patient confidentiality in all processes.

Skills

OASIS familiarity

Home health documentation

Medicare home health eligibility

ICD-10-CM coding & sequencing

Communication skills

Time management & deadlines

Audit readiness competencies

Education

Registered Nurse license (California)

Home health coding certifications (cos-c / hcs-o / coqs / hcs-d)

Job description

Compassionate Home Health LTD in the Greater Sacramento area is seeking an experienced Registered Nurse to join as a full-time Home Health Quality Assurance Reviewer. The role focuses on strengthening clinical documentation, OASIS accuracy, coding, and compliance across home health services for high-quality patient care.

The reviewer will assess OASIS assessments, diagnoses, and plans of care, communicating findings to clinicians and guiding documentation improvement with education and feedback.