Remote OASIS Review RN — Quality & Compliance

Seaport Scripps Home Health; United States; Remote; USD 62,000 - 76,000; Full time

Job summary

Seaport Scripps Home Health, a Scripps Health joint venture, seeks an experienced OASIS Review Nurse (RN) to support clinical quality, regulatory compliance, and documentation integrity in a home health setting. This role reviews OASIS assessments and ICD-10 coding to ensure accuracy and alignment with federal and state requirements.

Remote work option is available, California RN license required, with 2+ years of home health experience.

Qualifications

• Must hold an active California RN license.
• 2+ years of home health nursing experience.
• Strong knowledge of OASIS (OASIS-E preferred) and ICD-10 coding.
• Solid understanding of CMS Regulations and CoPs.
• Analytical mindset with attention to detail and clinical judgment.
• Effective communication and collaboration with interdisciplinary teams.

Responsibilities

• Prospectively review all OASIS assessments to ensure accuracy, completeness, and compliance with federal and state home health regulations and Seaport Scripps Home Health standards
• Analyze OASIS variation and alert reports to identify documentation gaps and trends
• Ensure correct ICD-10 coding and sequencing, including primary diagnoses and co-morbidities
• Collaborate with home health clinicians to clarify documentation issues and support appropriate corrections
• Review visit utilization to ensure services align with patient condition, care guidelines, and reimbursement requirements
• Identify potential underutilization, overutilization, or financial risk and report findings to Clinical Supervisor or designee
• Communicate problematic trends in OASIS data, outcomes, and processes to leadership
• Participate in Quality Improvement (QI), performance improvement, and Corporate Compliance activities
• Assist with additional chart audits and clinical documentation reviews

Skills

RN licensure

OASIS knowledge

ICD-10 coding

CMS regulations understanding

Analytical skills

Communication

Education

California RN license

Tools

OASIS-E

ICD-10 coding tools

Job description

Seaport Scripps Home Health, a Scripps Health joint venture, seeks an experienced OASIS Review Nurse (RN) to support clinical quality, regulatory compliance, and documentation integrity in a home health setting. This role reviews OASIS assessments and ICD-10 coding to ensure accuracy and alignment with federal and state requirements.

Remote work option is available, California RN license required, with 2+ years of home health experience.