Quality Reviewer (RN or PT)

The Quality Reviewer position support efforts of VNATC Home Health in managing quality of care, utilization, documentation and outcome and process management through associate interaction, education and timely review of electronic patient records. Integrate and demonstrate the core values of the VNA in all aspects of work responsibilities.
Responsibilities:

Review and approve all patient information and clinician documentation that is provided by the assessing clinician during OASIS timepoints (SOC, ROC, Recertification, Evaluation visit or Discharge)
Analyze OASIS data to ensure accuracy of data.
Review diagnosis coding and plan of care (POC/485) for accuracy and completeness
Assure appropriateness of patients to home care requirements and adherence to all payor rules and regulations
Communicate regularly and effectively with assessing clinicians and clinical managers to facilitate care planning at all points within the client’s admission
Identify high risk cases that require interdisciplinary case conferencing
Review clinical records for accuracy and completeness on an ongoing basis
Collaborate with QAPI nurse and home health educator regarding review findings and training needs
Participate in QAPI Committee
Other duties as assigned

Qualifications:

At least one year recent Home Health experience related to OASIS coding and review
Knowledge of CMS Home Health regulations including current COPs
Knowledge of (or experience with) ICD-10 coding is a plus
Experience with Homecare Homebase EMR preferred
Active RN or PT license in the State of Florida
Current Basic Life Support for Health Care Provider Certification/CPR