hospice/home health Quality Assurance rn/pt (work from home)TSG Outsourcing

How to Apply:
 
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HOSPICE/HOME HEALTH QUALITY ASSURANCE RN/PT (WORK FROM HOME)
 
Rate: $4/hr, and earn 40,000 PHP/month.
Schedule: Monday - Friday: 1:00 PM - 10:00 PM PST with 1 hr unpaid lunch.
 
Qualifications:
1+ years of experience in hospice/home health required
Must be a Registered Nurse/Physical Therapist
Must have attention to detail resulting in accurate outcomes
Excellent interpersonal, written and oral communication skills with a professional attitude, demeanor and appearance
Proficient in computer skills, including Word and Excel
Experience in Kinnser/WellSky
Working knowledge of HospiceMD and CareStitch software is a big plus
Familiarity with federal, state, and local healthcare regulations.
Experience ensuring compliance with Medicare, Medicaid, and state licensing requirements.
Strong knowledge of OASIS SOC/ROC/Recertification reviews and Medicare/Medicaid compliance.
Responsibilities:
Audit patient records to ensure ongoing compliance with documentation standards.
Perform accurate and timely clinical reviews to meet deadlines and ensure quality care.
Compile, review, analyze, and graph audit data while maintaining quality reports.
Collaborate with hospice staff to follow up on audit results and ensure proper documentation.
Work closely with the Compliance Team to identify performance issues and staff educational needs.
Ensure clinical records are accurate, complete, and compliant with documentation requirements and program-specific rules.
Ensure clinical records are maintained in their original form, free from alteration or fabrication.
Conduct OASIS SOC/ROC/Recertification reviews for past field staff visits.
Ensure compliance with all Federal, State, and local regulations and standards of practice, and ensure adherence to Medicare, Medicaid, and State licensing requirements.
Review documentation for necessity of services, quality care, and compliance with physician orders and the plan of care, ensuring appropriate reimbursement.
Ensure accuracy of claims by verifying necessary services with proper physician orders.
Create clinical orders for clinicians to review and approve.
Follow up with physicians' offices to obtain signed orders within regulatory timelines.
Use electronic faxes to send/receive documentation from doctors and other sources.
Communicate with field staff via phone, text, and chat.
Prefill visit notes with required data to streamline documentation.