Pennant · 4 days ago
Full-Time Quality Assurance Specialist Horizon Home Health | Twin Falls, Idaho | IN OFFICE / ON-SITE
Twin Falls, Idaho
Full-time
Onsite
Entry Level
$75K/yr - $85K/yr
1+ years expHorizon Home Health and Hospice is a healthcare services provider specializing in home health and hospice care. They are seeking a Quality Assurance Specialist responsible for analyzing OASIS documentation and ensuring compliance with coding and assessment processes.
Responsibilities
Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy
Utilizes OASIS variation or alert reports when reviewing OASIS data
Ensures appropriate ICD-9 – ICD-10 coding and sequencing as it relates to the patient’s medical condition, including any co-morbidities
Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy
Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee
Notifies OASIS Review Nurse and Agency Managers of problematic trends as a result of OASIS review
Participates in Quality Improvement and Corporate Compliance activities as assigned
Assists with other chart audit activities as assigned
Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications
Qualification
Required
1-2 years of experience of home health clinical, coding, or billing experience required
Working knowledge of OASIS and ICD-9/ICD-10 coding
Knowledge of federal regulations and state licensure requirements
Working knowledge of computer systems
Possess and maintains current CPR certification
Licensed driver with automobile that is in good working order and insured in accordance with organization requirements
Excellent coordination and communication skills
Detail oriented and able to work with minimal supervision
Preferred
RN, PT, OT, or ST license preferred
OASIS certification (COS-C) preferred
OASIS Home health ICD-9/ICD-10 coding certification preferred
Company
Pennant
At Pennant, we are driven by a simple truth: exceptional care begins with exceptional leadership.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Benjamin Hughes
CEO In Training
Brent Guerisoli
Chief Executive Officer
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