Clinical Documentation Specialist RN

FC Compassus LLC$80K — $90K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Ability to align work schedule with Pacific Time Zone business hours.
  • Education to meet certification, license or registration requirement.
  • 2 years Clinical Experience as a Registered Nurse.
  • 1 year Home Health Clinical Experience as an RN.
  • 1 year demonstrated proficiency in Home Health OASIS Review including all types of OASIS.
  • 1 year Experience with an Electronic Medical Record (EMR) system.
  • Preferred: OASIS Certification.

Responsibilities

  • Work collaboratively in a virtual team environment to enhance team efficiency and productivity.
  • Review and process Start of Care, Resumption of Care, Recertification, and OASIS Assessment documents promptly.
  • Analyze performance trends in OASIS accuracy and identify learning needs for clinical staff.
  • Provide education and constructive feedback to clinical staff on OASIS document completion.
  • Ensure accuracy of OASIS data items and their reflection in Home Health Quality of Care ratings.
  • Ensure compliance with all OASIS conventions and CMS guidelines.
  • Process OASIS documents in a timely manner to meet CMS billing requirements.

Benefits

  • Comprehensive medical, dental, and vision insurance.
  • 401k plan options.
  • Flexible time off policies.
  • Tuition reimbursement opportunities.
  • Wellness programs to support overall well-being.
  • Recognition programs to honor employee contributions.
Full Job Description
Position Summary

The Clinical Documentation Specialist is responsible for the quality review of all OASIS documents and review of key elements of the Plan of Care to ensure CMS program compliance is met. The Clinical Documentation Specialist works closely with the Manager of Quality Improvement and Home Health leadership to promote regulatory compliance and excellent patient outcomes and reimbursement. The Clinical Documentation Specialist serves as a role model and OASIS expert to Home Health staff across the region.

This is a remote position. Work schedule M- F 8am to 5pm PST. With a rotating schedule weekend and holidays.

Position Specific Responsibilities
  • Works in a virtual team environment in a manner that promotes team cohesiveness, efficiency, and productivity.
  • Responsible for the timely review and processing of Start of Care, Resumption of Care, Recertification, and Significant change in Condition Home Health OASIS Assessment documents and key elements of the Plan of Care.
  • Collaborates with leadership to analyze performance trends in OASIS accuracy; assists in determining learning needs for clinical staff.
  • Educates and provides feedback to clinical staff in regard to correct completion of OASIS documents.
  • Reviews of all OASIS data items and ensures accuracy of OASIS based outcome measures to reflect accurate Home Health Quality of Care Star rating and Value Based Purchasing OASIS Based component of TPS.
  • Ensures Regulatory compliance with all OASIS conventions.
  • Ensures timely processing of all OASIS documents to meet CMS guidelines and CMS billing requirements.


Education and/or Experience
  • Required - Ability to align work schedule with Pacific Time Zone business hours.
  • Required - Education to meet certification, license or registration requirement.
  • Required - 2 years Clinical Experience as a Registered Nurse
  • Required - 1 year Home Health Clinical Experience as an RN.
  • Required - 1 year demonstrated proficiency in Home Health OASIS Review including all types of OASIS.
  • Required - 1 year Experience with an Electronic Medical Record (EMR) system.
  • Preferred - OASIS Certification.
  • Preferred - Experience using Homecare Homebase (HCHB) EMR.


Certifications, Licenses, and Registrations
  • Required - Must be a licensed Registered Nurse in state of California.


Compensation range: $80,000 - $90,000

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Compassus offers a comprehensive benefits package including, Medical, Dental, Vision, 401k and much more.

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About FC Compassus LLC

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Join FC Compassus LLC's leading team to assist some of the most prestigious companies in navigating their paths to digital and operational excellence. At the crossroads of technology, industry knowledge, and digital innovation, FC Compassus LLC stands out as a leader. Lead in a unique market position, leveraging deep industry expertise and a commitment to digital innovation to transform businesses and industries alike. Engage with a global team of business and technology advisors to help clients excel in their ongoing transformation projects. Collaborate with a dedicated group of professionals, all focused on delivering cutting-edge solutions and driving growth through innovation.

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