OASIS Reviewer Home Health

Job Description

The OASIS Reviewer Home Health (REMOTE ROLE) is responsible for ensuring the accuracy, compliance, and quality of all OASIS assessments within a Home Health agency. This role supports clinicians by reviewing submitted documentation, identifying inconsistencies, and ensuring alignment with CMS regulations, agency policies, PDGM requirements, and all federal/state guidelines. The OASIS Reviewer plays a vital role in improving patient outcomes, reimbursement accuracy, and overall documentation integrity.

Key Responsibilities

• Review and audit Start of Care (SOC), Recertifications, Resumptions of Care, Transfers, and Discharges for accuracy and regulatory compliance.
• Ensure all OASIS assessments align with clinical findings, visit notes, physician orders, and plan of care.
• Identify documentation gaps and provide feedback or clarification requests to field clinicians.
• Collaborate with QA, clinical managers, and field staff to improve the quality and consistency of documentation.
• Assist with correcting or updating OASIS data elements to support accurate coding and PDGM scoring.
• Monitor OASIS submission deadlines and ensure timely submission to CMS.
• Maintain up-to-date knowledge of OASIS-E guidance, CMS Q&As, COPs, PDGM rules, and regulatory changes.
• Review functional scoring, M-items, and diagnosis coding for internal accuracy and compliance.
• Support training of clinicians on best practices for documentation and OASIS completion.
• Participate in QAPI activities, quality audits, and performance-improvement initiatives.
• Communicate effectively with interdisciplinary team members to resolve discrepancies and improve documentation standards.

Qualifications

• Must have 12 months of recent experience within the last 3 years.
• Strong proficiency with Home Care Home Base (HCHB) or other EMR systems.
• BLS from AHA highly preferred
• Excellent communication and interpersonal skills for effective patient and family education.
• Current and unencumbered Registered Nurse (RN) license in the state of California.
• Reliable transportation and a valid driver’s license for travel between patient locations.