Remote RN QA Specialist: OASIS & ICD-10 Expert

Sequoia Home Health; USA; Remote; USD 85.000 - 110.000; Vollzeit

Zusammenfassung

Sequoia Home Health is seeking an experienced OASIS Review Nurse (RN) to support clinical quality, regulatory compliance, and documentation integrity in a remote home health setting. The role focuses on reviewing OASIS assessments and ICD-10 coding while collaborating with clinicians to improve outcomes and agency performance.

This position is ideal for a detail-oriented Home Health RN with strong knowledge of OASIS, Medicare regulations, quality assurance, and clinical documentation review.

Qualifikationen

• RN with active California license.
• 2+ years of home health nursing experience.
• Strong knowledge of OASIS (OASIS-E preferred) and ICD-10 home health coding.
• In-depth understanding of CMS regulations, CoPs, and state licensure requirements.
• Strong analytical skills with attention to detail and clinical judgment.
• Effective communication and collaboration with interdisciplinary teams.

Aufgaben

• Prospectively review all OASIS assessments for accuracy and compliance with federal/state home health regulations and agency standards.
• Analyze OASIS variation and alert reports to identify documentation gaps and trends.
• Ensure correct ICD-10 coding and sequencing, including primary diagnoses and comorbidities.
• Collaborate with home health clinicians to clarify documentation issues and support corrections.
• Review visit utilization to ensure services align with patient condition and reimbursement requirements.
• Identify underutilization or overutilization and report findings to Clinical Supervisor or designee.
• Communicate problematic trends in OASIS data and outcomes to leadership.
• Participate in Quality Improvement (QI), performance improvement, and Corporate Compliance activities.
• Assist with chart audits and clinical documentation reviews as needed.

Kenntnisse

OASIS knowledge

ICD-10 coding

CMS regulations

CoPs

Analytical skills

Clinical judgment

Interdisciplinary communication

Ausbildung

RN license - California

Jobbeschreibung

Sequoia Home Health is seeking an experienced OASIS Review Nurse (RN) to support clinical quality, regulatory compliance, and documentation integrity in a remote home health setting. The role focuses on reviewing OASIS assessments and ICD-10 coding while collaborating with clinicians to improve outcomes and agency performance.

This position is ideal for a detail-oriented Home Health RN with strong knowledge of OASIS, Medicare regulations, quality assurance, and clinical documentation review.