Quality & Compliance Nurse
VivieAnoka, MN, USjob_description.job_card.variable_hours_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionConducts compliance-focused reviews of ICD-10 coding for all patient records to ensure accuracy, appropriateness, and adherence to regulatory standards. Reviews OASIS documentation for completeness and regulatory compliance, and provides clear, actionable feedback to clinicians. Audits plans of care and provider orders for regulatory compliance, clinical accuracy, and documentation completeness; recommends necessary changes to ensure adherence to standards. Reviews clinical documentation to ensure it supports medical necessity and meets Medicare and other payer coverage requirements for Home Health services. Collaborates with leadership to support agency quality outcomes, regulatory preparedness, and performance improvement initiatives. Assists in developing and delivering compliance-related training and education to clinical staff based on review findings and evolving regulatory requirements. Stays informed of changes to federal and state regulations affecting Home Health adjusts review practices accordingly. Complete additional chart reviews on varying identified areas to support agency quality, performance improvement, and compliance initiatives. The duties and responsibilities listed above reflect the nature and level of compliance oversight required and are not necessarily all-inclusive. Open to internal employees only. Must be licensed as a Registered Nurse in the states of Minnesota and North Dakota, or willing to obtain MN / ND licensure Bachelor’s degree is preferred. Minimum 1 year of clinical experience in Home Health. Certification in OASIS and ICD-10 coding preferred. Must obtain certification in OASIS within 2 years of hire. Must complete and pass a state required background study. Able to physically perform the duties required by the position. Required to have the ability to read, write and speak English well enough to communicate with staff, clients and visitors.
Job Description
Job Description
Schedule : Full-time | 80 hours per pay period | Monday-Friday | 8 am — 4 : 30 pm.
Location : Remote or in-office, depending on office space availability
At Vivie, we value our people and offer a competitive pay range of $34.00 / hr. to $39.50 / hr. (hourly non-exempt) based on qualifications, experience, and location. Our comprehensive benefits package includes health coverage, flexible schedules, and professional growth opportunities.
Let’s grow together—apply now and discover the difference you can make at Vivie!
Vivie is an equal opportunity employer.
Scope :
- Plays a critical role in ensuring compliance with federal and state regulations for Home Health services.
- Ensures accuracy and compliance of the plan of care, provider orders, face to face, and OASIS documentation.
- Oversees accurate ICD-10 diagnostic coding in alignment with regulatory requirements and payer guidelines.
- Maintains current knowledge of Home Health Quality Reporting Programs and reimbursement structures.
Key Responsibilities :
Education and Experience Required :
Reports To : Manager of Quality and Compliance Review
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Quality Compliance • Anoka, MN, US
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