Clinical Documentation Specialist (Registered Nurse/Physical Therapist)

Company:

Providence at Home with Compassus

 

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. 

 

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 or Physical Therapist. 

• Required - 1 year Home Health Clinical Experience as an RN or PT.  

• 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 or Physical Therapist in state of employment.  
   
  At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As