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

How to Apply:
Copy and Paste the Link below in the browser to generate the application form:
https://forms.gle/UwbRCBTnF6WVuuRP8
 
Rate: $5/hr and earn up to PHP 50,000+/month
Schedule: Monday to Friday: 1:00 PM - 10:00 PM PST with a 1- Hour Unpaid Lunch Break.
 
HOME HEALTH QUALITY ASSURANCE RN (WORK FROM HOME)
 
Qualifications:
Bachelor's Degree in Nursing
HUGE plus if a Registered Nurse in California
Active PRC license
Analytical, detail-oriented, organized, and can work well under pressure
At least 1 year of experience (home health care or hospice)
Working knowledge of rehab practices and procedures
Understanding of therapy treatment plans
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 Medicare home health guidelines is 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.
Excellent written, oral, and interpersonal communication skills.
Ability to comprehend clinical policies and criteria to articulate requirements surrounding health record information.
Demonstrates proactive identification of problem areas and reports areas of concern to senior management.
Intermediate computer skills, including Microsoft Outlook, Excel, Word, PowerPoint, and a willingness to learn new information technology, are required.
Familiar with Kinnser EMR Software
Responsibilities:
Ensures current and accurate clinical records in compliance with documentation requirements and program-specific rules for coverage and qualifying criteria
Ensures 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
Ensure compliance with all Federal, State, and local regulations and standards of practice
Complies with Medicare, Medicaid, and State license requirements
Reviews documentation for the necessity of services, quality care, and compliance with physician orders and the plan of care to ensure quality care and reimbursement
Ensures 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, and chats. Pre-fill visit notes with necessary data