Home Health Quality Assurance Coordinator and Coder
Home Health Quality Assurance Coordinator and Coder
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USD 38 - 40
1 Vacancy
Job Description
FSLA Classification: Exempt
Reports to: Director of Nursing
Department: Quality & Compliance
Job description
The Home Quality Assurance Coordinator is responsible for the review of clinical documentation for Home Health in accordance with attending physician orders and plans of care to provide the highest quality of patient care and maintain compliance with Medicare Medicaid accrediting bodies and other federal and state rules and regulations.
Responsibilities
- Performs tasks in EMR QA Manager.
- Reviews OASIS and all clinical documentations on a daily basis ensures compliance to Medicare guidelines
- Audit OASIS for omissions and discrepancies.
- Ensures all required goals to meet Plan of Care are included and have required interventions on 485s and physician orders.
- Generates the Plan of Care and physician orders to be sent to clinicians.
- Maintains daily coordination and facilitates communication with clinicians for OASIS compliance Communicates with Home Health Director of Nursing for further clinical education on an individual clinician basis and/or team basis for any documentation trends identified.
- Prepares and assists with Medicare pre-claim review process.
- Assists with orientation and ongoing training of all employees regarding documentation as needed.
- Consults with the physicians when necessary to ensure and maintain safe efficient and quality patient care.
Qualifications
- Experience in quality improvement or a related field
- Strong organizational skills
- Strong writing skills
- Strong leadership capabilities
- Ability to prioritize multiple tasks in a fast-paced environment
- Ability to comply with all policies and procedures
Requirements
- Must have at least 2 years experience in home health QA review.
- Proficiency in EMR: Kinnser or WellSky preferred.
- Knowledge in ICD 10 preferred.
- Registered Nurse or Licensed Practical Nurse preferred.
Physical Requirement:
- Prolonged periods of sitting at a desk and working on a computer.
- Capacity to lift over 20 pounds as needed.
Sunshine Homecare Services is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex disability age sexual orientation gender identity national origin veteran status or genetic information. Sunshine Homecare Services is committed to providing access equal opportunity and reasonable accommodation for individuals with disabilities in employment its services programs and activities. To request reasonable accommodation contact the
Required Experience:
IC
Employment Type
Full-Time
