Oasis Reviewer

Deercreekseniorliving; United States; On-site; USD 60,000 - 85,000; Full time

Job summary

The Pennant Group, Inc. is seeking an OASIS Reviewer who analyzes data integrity and consistency of OASIS documentation and assessment processes under the supervision of the Coding and OASIS Manager of Synergy Shared Services.

This role collaborates with agencies within the scope of work to ensure accurate and reliable documentation. The incumbent will review assessments prospectively, consult with clinical staff to resolve data issues, monitor for utilization, and support quality improvement

Qualifications

• Working knowledge of the OASIS process.
• Understanding of federal regulations and state licensure requirements for home health.
• Self-motivated and able to work independently while collaborating in a team.
• Outstanding written and verbal communication skills.
• Strong computer skills to utilize Microsoft Outlook and agency systems.
• Understanding of the regulatory framework governing the home health industry.
• Valid driver's license and access to reliable transportation.

Responsibilities

• Prospectively review all OASIS assessments for completeness and compliance.
• Utilize OASIS variation or alert reports when reviewing data.
• Consult with clinical staff to clarify data integrity issues and coordinate corrections.
• Review visit utilization for appropriateness of care and report potential losses.
• Notify managers of problematic trends from OASIS reviews.
• Participate in Quality Improvement and Corporate Compliance activities.
• Assist with other chart audit activities as assigned.
• Maintain professional knowledge by attending workshops and reviewing publications.
• Understand and demonstrate CAPLICO values.
• Other duties and special projects as assigned.

Skills

OASIS process

Federal regulations

Self-motivation

Communication skills

Computer skills

Regulatory framework

Driver's license

Tools

Microsoft Outlook

Job description

SUMMARY

The OASIS Reviewer is responsible for analyzing the data integrity and consistency of OASIS documentation and assessment processes. Working under the direct supervision of the Coding and OASIS Manager of Synergy Shared Services (SSS) and collaborating with agencies within the scope of work, this role will be vital in ensuring the accuracy and reliability of the OASIS documentation process.

ESSENTIAL RESPONSIBILITIES AND DUTIES

• 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, Clinical Manager and/or designee.


• Notify Coding and OASIS Manager, Clinical Manager 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.

Something that sets Synergy Shared Services apart from other companies is the quality of our most valuable resources - our people! We are dedicated to living out our culture as defined by our core values, \"CAPLICO\": Customer Second Accountability Passion for Learning Love One Another Intelligent Risk Taking Celebrate Ownership By incorporating these principles at all levels of our organization, our employees feel valued and excited about their impact on our service center team members and operational partners. Our culture fosters excellence both personally and professionally and promotes development that leads to continued success.

We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.