Oasis Reviewer

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🔥 4 minutes ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Pennant

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

💰 $108.5M Post-IPO Equity - The Pennant Group on 2024-10

At Pennant, we are driven by a simple truth: exceptional care begins with exceptional leadership. We understand that local leaders are the heartbeat of local care, and empowering them is the key to delivering personalized, Life-Changing Service in every community we serve.

📋 Description

• Prospectively review all OASIS assessments to ensure appropriateness, completeness, and regulatory compliance. • Evaluate OASIS data for internal consistency, accuracy, and alignment with patient condition and care delivery. • Utilize OASIS variation, validation, or alert reports to identify potential data integrity concerns. • Ensure documentation supports accurate clinical representation and compliant reimbursement. • Partner with clinicians and agency staff to clarify documentation discrepancies or data integrity issues. • Provide guidance to clinicians on appropriate corrections in accordance with agency policy and regulatory standards. • Support education and reinforcement of best practices related to OASIS completion and assessment accuracy. • Review visit utilization for alignment with patient condition, plan of care, and clinical guidelines. • Identify and report potential underutilization, overutilization, or financial risk to the Coding and OASIS Manager, Clinical Manager, or designee. • Escalate trends that may impact reimbursement, outcomes, or compliance. • Identify and communicate problematic trends or recurring issues identified through OASIS review. • Participate in Quality Improvement and Corporate Compliance initiatives as assigned. • Assist with additional chart audits or documentation reviews as needed. • Maintain current knowledge of OASIS standards, regulatory changes, and industry best practices. • Demonstrate and uphold CAPLICO values in all interactions and work practices.

🎯 Requirements

• Working knowledge of the OASIS data set and assessment process. • Strong understanding of federal regulations and state licensure requirements for home health. • Knowledge of the legal and regulatory framework governing the home health industry. • Ability to work independently while maintaining strong collaboration with interdisciplinary teams. • Excellent written and verbal communication skills. • Strong computer proficiency, including Microsoft Outlook and agency documentation systems. • Valid driver’s license, vehicle insurance, and access to reliable transportation or public transportation. • At least two (2) years of home health clinical, coding, or billing experience (preferred). • OASIS certification (COS-C) (preferred).

🏖️ Benefits

• Professional development • Ongoing education through workshops and training