Exemption Status: Exempt
Schedule Details: Monday through Friday
Scheduled Hours: 8:00am-4:30pm
Shift: 1 - Day Shift, 8 Hours (United States of America)
Hours: 40
Cost Center: 24100 - 4380 Quality Assurance
This position may have a signing bonus available; a member of the Recruitment Team will confirm eligibility during the interview process.
At UMass Memorial Health, everyone is a caregiver regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.
1. Reviews and scores 100% of Start of Cares (SOC) on new clinicians until deemed competent evidenced by score on SOC audit tool averages 94%; and 485 POC completed accurately.
2. Reviews 10% clinicians SOC's once deemed competent.
3. Reviews Recertifications, Discharge OASIS, and Transfer OASIS to reflect 10% of clinician's yearly discharges/transfers/re-certifications.
4. Tracks and trends review results by individual forwarding to Clinical Manager. Conferences/Educates clinicians re: deficiencies/corrections to be made.
5. Notes trends in deficiencies of documentation and communicates to the Executive Director and participates in the educational plan for staff.
6. Functions as a resource person to the Nurse and Therapists regarding documentation requirements.
7. Assists in ongoing education and support of clinical staff in the accurate completion of the OASIS and supportive documentation at all time points.
8. Serves as a resource for clinicians and clerical for troubleshooting documentation related problems, such as OASIS Errors and Medical Diagnosis exceptions.
9. Assists Executive Director/Director in job related activities as needed.
10. Keeps current with "Best Practices" regarding disease processes and documentation practices through readings and attendance at in-services.
11. Knowledgeable regarding agencies policies, procedures, accreditation bodies, state and federal regulations.
12. Reviews and processes audit activities such as ADR's and external medical record requests.
License/Certification/Education: Required:
1. Bachelor's degree in Occupational Therapy, Physical Therapy, or Associate Degree in Nursing.
2. Current Massachusetts Occupational Therapist, Physical Therapist, or Registered Nurse (RN) license.
3. Certificate for OASIS Specialist-Clinical (COS-C) or obtained within six (6) months of date of hire Preferred:
1. If RN, Bachelor of Science degree in Nursing.
2. Medical coding certification and training in medical terminology from an accredited program. Recognized programs include: American Health Information Management Association (AHIMA), National Healthcareer Association (NHA), and American Academy of Professional Coders (AAPC).
Experience/Skills: Required:
1. Minimum two (2) years of experience in ICD-CM (current edition) coding and OASIS review in a Home Health setting
2. Ability to work independently and as a team member
3. Must be flexible and adaptable to changing work priorities
Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
We're striving to make respect a part of everything we do at UMass Memorial Health for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.
As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.
If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.
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