OASIS RN Quality Analyst (Home Health)

OASIS RN QA (Full-Time) Department: Clinical Quality / OASIS QA Employment Type: Full-time Location: Parañaque City - On-site. Reports to: Clinical Supervisor/Nursing Supervisor Job Overview The OASIS QA Registered Nurse is responsible for reviewing and ensuring the accuracy, completeness, and compliance of OASIS-E1 documentation and associated clinical visit narratives completed by field clinicians. This role supports regulatory compliance, payer requirements, and internal documentation standards through structured chart review, ICD-10 coding validation, and real-time monitoring of visit documentation for active patients. This is a non-bedside, quality assurance role focused on documentation governance, clinical accuracy, and risk mitigation. Key Responsibilities Review OASIS-E1 Start of Care (SOC) and Resumption of Care (ROC) documentation for completeness, accuracy, and compliance Validate and correct ICD-10 diagnosis coding based on referral documentation, MD orders, and clinical records Ensure all visit documentation includes required clinical elements: - wound status update (with photo if applicable) - vital signs - visit events - medication reconciliation - general health assessment (pain, cardiovascular, neurological, GI/GU, - integumentary) - skilled interventions performed - patient/caregiver education - EVV / visit verification Review and complete clinical narratives for assigned SOC and ROC charts Monitor active patient charts in Axxess in real time to ensure visit documentation is complete and compliant Identify documentation gaps and return charts for correction with clear QA feedback Flag and escalate critical documentation errors that may affect compliance or reimbursement Collaborate with Clinical Operations, Intake, Billing, and QA teams to ensure documentation readiness for billing Scope of Review Included: OASIS-E1 Start of Care (SOC) OASIS-E1 Resumption of Care (ROC) (within 7 days of facility discharge) Excluded: Recertifications Discharges Routine non-OASIS visits (except for visit documentation QA monitoring) Volume & Turnaround Expectations QA reviews are based on all active patients within Axxess , not assigned patient panels Workload is dependent on daily visit frequency and census Clinical narratives must be completed within 48 hours of submission Visit documentation QA monitoring is expected in real-time / same-day review visibility Required Qualifications Education & Licensure Active, unrestricted Philippines Registered Nurse (RN) license Minimum Required Experience Candidates must meet the following combined experience structure : Clinical (Bedside) Experience Minimum 1-2 years bedside nursing experience Acceptable clinical areas include: o Medical-Surgical o Emergency Room o Operating Room o Orthopedics General Surgery o Stepdown / ICU QA / Coding / OASIS Experience — REQUIRED Minimum 1.5 years experience in at least one of the following: OASIS documentation review ICD-10 coding (home health or post-acute) Clinical documentation QA / audit Core Skills Strong clinical documentation and chart review skills ICD-10 coding familiarity and validation skills EMR/EHR proficiency (Axxess experience preferred) Strong understanding of medical necessity and skilled documentation Strong written communication and structured clinical writing Ability to provide clear, constructive QA feedback Preferred (Not Required) Home health or post-acute care experience Medicare / Medi-Cal documentation standards knowledge Scope Limitations No direct patient care No case management assignment No clinician supervision responsibilities Acceptable Experience Combinations The following ratios are acceptable: 1:1.5 (Bedside: QA/Coding/OASIS) 1.5:1.5 2:1.5 or higher Candidates with: less than 1 year bedside experience, or less than 1.5 years QA/coding/OASIS experience will not be considered.