home health Quality Assurance rn (work from home)TSG Outsourcing

How to Apply:
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https://forms.gle/UwbRCBTnF6WVuuRP8
 
Rate: $3.80/hr and earn up to PHP 38,000/month
Schedule: Monday- Friday 1:00 PM- 10:00 PM Pacific with 1-hour unpaid lunch break
 
Home Health Quality Assurance RN (Work From Home)
Qualifications:
Bachelor's Degree in Nursing
HUGE plus if a licensed Registered Nurse in California.
Active PRC license
Analytical, detail-oriented, organized and can work well under pressure
At least 2-years experience as a Nurse (preferably in gerontology and home care)
Familiarity in navigating electronic medical records is a plus but not required
Understanding of ICD-10 coding especially in the respective field a plus but not required
Working knowledge of home health and CMS requirements for OASIS and Plan of Care for both clinical and billing needs.
Demonstrates analytical and decision making skills.
Excellent written, oral and interpersonal communication skills.
Ability to comprehend clinical policies and criteria to clearly articulate requirements surrounding health record information.
Ability to prioritize job duties to meet the demands of the day.
Demonstrates proactive identification of problem areas and reports areas of concern to senior management.
Intermediate computer skills including Microsoft Outlook, Excel, Word, PowerPoint and willingness to learn new information technology required.
Familiar with Kinnser EMR Software
Responsibilities:
Assures current and accurate clinical records in compliance with documentation requirements and program-specific rules for coverage and qualifying criteria
Assures clinical records are maintained in their original state and not improperly altered or fabricated
Able to perform OASIS SOC/ROC/Recertification reviews of past field staff visits Regulatory/Compliance:
Ensure compliance with all Federal, State, and local regulations and standards of practice Complies with Medicare, Medicaid, and State license requirements
Reviews documentation for necessity of services, quality care, and compliance with physician orders and the plan of care to ensure quality care and reimbursement
Assures accuracy of claims by providing necessary services with appropriate physician orders that substantiate a reasonable and necessary service need
Creates clinical orders for clinicians to review/approve
Follow up with Doctors' offices to get orders signed within the regulatory timeframe via phone, text, chat, and fax.
Use electronic faxes to send/receive various documentation from doctors and other sources
Communicate with field staff via phone, text, chats Prefill visit notes with necessary data