Our multi-county Medicare home health agency is currently looking for an experienced Quality Assurance Coordinator with RN degree and Medicare Home Health Care Q.A. experience to join our team.
As a Quality Assurance Coordinator, you must possess the following:
Current Florida RN degree
Strong background in Medicare COPs
Possess a strong initiative and motivation to keep the agency in compliance
Reviews Plans of Care for accuracy
Run QAPI meetings
Prepare Quarterly Comprehensive reports
Track and manage patient outcomes
Effectively take reports from the field staff.
Answer and make calls to physicians, hospitals, rehab center and patients
Excellent documentation ability
Well organized and self motivated
Self-starter able to work independently under the supervision of the Director or Nursing
Available for rotational on-call
Reviews all Medicare episodic clinical records at the local level to assure appropriate documentation for reimbursement. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the care plan, and evidence of communication between disciplines.
Oversee the maintenance of clinical records and files to comply with Conditions of Participation (COPs), using measurements, as licensure, certification, and accreditation results.
Audit charts for clinical oversight and compliance and adherence to the Medicare guidelines.
Assist with quality improvement and Medicare compliance training program.
Review OASIS documents for accuracy and completeness prior to locking and submitting data electronically. Explain and mentor clinicians and staff on COP’s and on billable skilled visits.
Educate and mentor clinicians one on one (in person or over the phone) regarding concerns, questions, accuracy of OASIS data, and other related documents, that are being reviewed.
Must be a current Florida Registered Nurse
Minimum of three years Medicare Home Health QA experience
Knowledge of state and federal home health agency regulations/Conditions of Participation and compliance standards and regulations
Experienced with ICD 10 coding
Knowledgeable of Axxess
Knowledge of clinical policies and procedures and ability to implement
Excellent organization, communication and follow-up skills
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