Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance)
Base pay range: $55,000 - $75,000 per year. Actual pay based on skills and experience.
Position Overview
The Home Health Quality Assurance Specialist ensures the accuracy, compliance, and quality of patient care documentation, with a primary focus on OASIS data. Role involves reviewing patient records, conducting quality assurance checks, and exporting OASIS items to Medicare for compliance and reimbursement purposes.
Key Responsibilities
Review and validate OASIS assessments for accuracy and completeness before submission.
Export OASIS data to Medicare, ensuring compliance with CMS regulations.
Address discrepancies or errors in OASIS data and collaborate with clinicians to correct inaccuracies.
Conduct regular audits of clinical documentation to ensure adherence to state, federal, and agency regulations.
Monitor compliance with Medicare guidelines, particularly around OASIS and other key reporting metrics.
Implement quality improvement initiatives to enhance documentation practices and patient care outcomes.
Provide training to clinical staff on accurate OASIS data entry and Medicare compliance.
Stay updated on changes in Medicare regulations and OASIS requirements and communicate updates to relevant staff.
Collaborate with billing and reimbursement teams to ensure timely and accurate submissions to Medicare.
Generate reports on OASIS data submissions and quality assurance activities; analyze trends and recommend strategies for improvement.
Qualifications
Experience or certification in QA and OASIS management.
Strong knowledge of OASIS, Medicare, and CMS regulations.
Experience in quality assurance, auditing, or compliance within healthcare.
Attention to detail and ability to work with clinical documentation systems.
Strong communication and collaboration skills.
OASIS and coding experience in a healthcare setting.
Work Environment
In‑office position.
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