OASIS REVIEW NURSE / Q/A NURSE

Overview

The OASIS Review Nurse is a Registered Nurse responsible for reviewing and analyzing OASIS documentation for accuracy, completeness, consistency, and regulatory compliance. This role helps ensure proper ICD-10 coding and sequencing, supports documentation integrity, and collaborates with clinical staff to resolve discrepancies and improve assessment quality.

The ideal candidate has strong home health experience, a solid understanding of OASIS and ICD-10 requirements, and the ability to identify documentation trends that may affect reimbursement, utilization, and quality outcomes.

Responsibilities

• Review OASIS assessments prospectively to ensure completeness, accuracy, and compliance with federal and state regulations, as well as organizational policy.
• Utilize OASIS variation and alert reports during chart review.
• Ensure appropriate ICD-10 coding and sequencing based on the patient’s clinical condition and comorbidities.
• Collaborate with clinical staff to clarify documentation issues and facilitate appropriate corrections.
• Review visit utilization for appropriateness based on patient condition and care guidelines; escalate concerns regarding underutilization or potential financial impact.
• Identify and report problematic trends or recurring issues discovered through OASIS review.
• Partner with managers and leadership to address trends affecting outcome and process measures.
• Conduct OASIS inter-rater reliability visits with clinical staff.
• Participate in quality improvement and corporate compliance activities as assigned.
• Assist with additional chart audit activities as needed.
• Maintain current professional and technical knowledge through ongoing education and professional development.

Experience

• Current Registered Nurse (RN) license in the applicable state.
• One to two years of clinical home health experience required.
• Working knowledge of OASIS and ICD-10 coding required.
• OASIS Certification (COS-C) preferred.
• OASIS Home Health ICD-10 Coding Certification preferred.
• Knowledge of federal regulations and state licensure requirements.
• Proficiency with computer systems and clinical documentation platforms.
• Current CPR certification required.
• Valid driver’s license, reliable automobile, and insurance in accordance with organizational requirements.
• Strong coordination, communication, and organizational skills.
• Detail-oriented with the ability to work independently and with minimal supervision.

Pay: $61,000.00 - $65,000.00 per year

Work Location: In person