Quality Assurance and Coding Support Specialist

At Limitlessli, we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.

We are seeking a detail-oriented and motivated Quality Assurance Support Specialist to join our team. In this remote position, you will collaborate closely with supervisors and department heads to support quality improvement initiatives and ensure regulatory compliance through the review of OASIS (Outcome and Assessment Information Set) documentation.

These positions are remote, so offer you the flexibility of working from home.

Key Responsibilities:

• Collaborates directly with the supervisor to help with data entry relating to visit utilization, audits, and other
  tasks assigned by the supervisor.
• Reviews patient data assessments through the OASIS to ensure accuracy, completeness, and
  regulatory compliance.
• Utilize the SHP platform to resolve critical alerts and predictive measures impacting compliance and
  regulatory standards.
• Rotate in filling in with coding as a backup of all OASIS types and functional reviews of OASIS data.
• Compare the OASIS data to other patient documentation like physician notes, nursing assessments,
  and therapy evaluations to ensure consistency and accuracy.
• Assess whether the services ordered based on the OASIS assessment are medically necessary and
  comply with Medicare guidelines.
• Communicate identified issues to the clinicians who completed the OASIS assessment, suggesting
  necessary corrections or clarifications.
• Document the reason for the change and recommend reimbursement impact for supervisor review of agency
  metrics.
• Assist with order development and special initiatives with the supervisor, focusing on billing and quality
  metrics to improve STAR ratings.
• Complete documentation of results review; ensure workflow processes are timely and accurate.
• Provide coding accuracy to OASIS Assessments, as requested, utilizing regulatory guidelines.
• Creates Plans of Care for review by Coding Supervisors.
• Other duties, as assigned.

Required Qualifications:

• Registered Nurse, preferred.
• Demonstrates learning agility; seeks opportunities for teaching, support, and professional growth.
• This position utilizes telephone, internet, Google suite, Windows, eFax platforms, and other EMR
  systems implemented by the Home Health Agency

Requirements:

• At least 1 year of experience in OASIS reviews.
• Coding certification preferred, but not required.
• OASIS certification, preferred but not required.
• The ability to critically analyze patient data and identify inconsistencies is essential.
• Flexibility to work within different departments of the agency as outlined in the job description.
• Ability to problem solve quickly and foresee any potential issues/risks

Optional/Preferable:

• CODING Certification- Home Health- HCS-D, BCHH-C
• OASIS Certification- COS-C, COQS
• QA experience with OASIS SOC, OASIS DC, OASIS ROC, OASIS Recert
• Experience with STAR Ratings and metrics

Industry standards applicable to the state depending on work experience and level of expertise.

US Eastern Standard Time (EST) – 9am to 6pm

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You'll also be required to have a backup internet connection, ensuring that you're well-equipped to complete your work seamlessly.

Don't miss out on this opportunity – apply now and become a valuable member of the Limitlessli team If you're interested in what you have read, then we invite you to take the next step and submit your application.