OASIS QA Reviewer

Supports Netsmart’s clinical quality operations by leading reviewer training, ensuring quality through audits, and serving as a go-to expert for coding and OASIS standards. Acts as a key resource in resolving client and reviewer questions while maintaining high-quality clinical outcomes.

At Netsmart, improving care delivery isn’t just our aspiration; it’s our passion!

For more than 50 years, we’ve been a healthcare software company developing technology and providing services in the behavioral health, human services, and Post-Acute markets. We collaborate with organizations and partner with our clients across the care spectrum to anticipate challenges, identify obstacles, and recognize new opportunities as healthcare evolves. We continuously strive to advance our Netsmart technologies and offerings beyond the EHR by embracing new technology trends that empower healthcare professionals to provide the best possible care.

RESPONSIBIITIES

• Support orientation and training for new associates and ongoing skill-based training for all reviewers.

• Complete quality assurance processes; document and report findings

• Provide client and reviewer quality communication and resolution

• Test McBee Clinical Review functionality

• Act as an expert resource for reviewer questions; ensure knowledge management resources are available, updated and leveraged.

• Identify and communicate quality concerns to QA leadership

QUALIFICATIONS
Required

• At least 2 years of experience in Coding & OASIS review

• HCS-D certification and HCS-O or COS-C OASIS certification

• Expert in ICD-10 coding and OASIS guidelines

• Excellent communication and presentation skills

Preferred

• Advanced clinical degree

• Active clinical license (e.g. RN, PT, OT, SP)

• CPHQ certification

• HCS-H certification

Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.

Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart’s sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart’s third party screening provider.

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All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.

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