OASIS RN Nurse Coding Specialist bei Aspen Healthcare Services Inc

Description

Job Description Summary 

The OASIS Coding RN Nurse Specialist plays a critical role in the success of Aspen Healthcare Services by ensuring the accuracy, completeness, and compliance of clinical documentation. This position has a direct impact on the agency’s reimbursements, CMS Star Ratings, and HH Value Based Purchasing measures, influencing quality outcomes, reimbursement integrity, and overall patient satisfaction.

The specialist will review and audit OASIS assessments, perform ICD-10 coding, and collaborate closely with clinicians to strengthen documentation practices. Through attention to detail and a commitment to clinical excellence, this role supports Aspen’s mission of delivering outstanding care and achieving top-tier Star Ratings.

Key Responsibilities

• Conduct thorough reviews of OASIS Start of Care, Recertification, Resumption, Transfer, and Discharge documentation to ensure precision, compliance, and clinical integrity.
  
  
• Assign accurate ICD-10 coding based on the patient’s clinical and face-to-face documentation and OASIS assessment findings.
  
  
• Ensure that all OASIS submissions reflect the true clinical picture and align with CMS quality measures and Star Rating metrics.
  
  
• Ensure that all OASIS submissions are submitted to iQIES within 30 days
• Partner with field clinicians to clarify documentation discrepancies and provide feedback to promote continuous improvement.
• Prepare CMS485 and Post Hospital Orders
  
  
• Monitor regulatory changes, OASIS-E guidance updates, and CMS Star Rating methodologies to maintain best practices.
  
  
• Actively participate in the agency’s QAPI (Quality Assurance and Performance Improvement) initiatives and internal audits.
  
  
• Assist in training and education for new and existing staff on OASIS documentation accuracy, coding, and regulatory compliance.
  
  

Qualifications

• Registered Nurse (RN) with active license in Texas (or compact state license).
  
  
• Minimum 3 years of Home Health experience, with at least 2 years in OASIS review and ICD-10 coding.
  
  
• Certification in OASIS (COS-C, HCS-O) preferred.
  
  
• ICD-10 coding certification (HCS-D or equivalent) preferred.
  
  
• In-depth understanding of Medicare Conditions of Participation, Conditions of Payment, CMS guidelines, and quality reporting requirements.
  
  
• Experience with electronic medical record systems (such as Kinnser/WellSky, Forcura)
  
  
• High attention to detail, strong organizational skills, and effective communication abilities.
  
  
• Ability to work independently and proactively manage timelines in a remote or hybrid setting.
  
  

Work Environment & Schedule

• Full-time, Monday through Friday (flexible business hours)
  
  
• Occasional in-person meetings or training sessions
  
  

Essential Job Functions/Responsibilities 

This position must exhibit the following competencies: 

1. Critical Thinking: 

Synthesize complex and diverse information; collect and objectively weigh data; use experience, intuition, and critical thinking to complement data; and design effective processes and workflows. 

2. Results Orientation: 

Actively involved in achieving or exceeding identified strategic patient census goals, patient service excellence, internal systems and processes, learning and growth initiatives, and financial health.

3. Integrity and Ethics: 

Treat others with respect and individuality regardless of their status or the situation; do what you say; be fair and equitable in all interactions; be a good steward of company resources; actively contribute toward the company’s success and goals; uphold organizational values. 

4. Dependability:

Maintain work behavior that invites trust and reliance; role model positive attendance and punctuality standards; ensure work responsibilities are completed correctly and are covered  when absent; arrive at meetings and appointments prepared and on time. 

5. Professionalism:

Uphold high work standards that reflect the company’s purpose and goals; accept responsibility for own actions; react to challenges positively and calmly; provide leadership in maintaining highest technical and customer service standards for the benefit of the patients served.  

6. Innovation: 

Meet challenges with creativity and resourcefulness; remain open to change, others’ ideas,

and trying new things; generate suggestions for improving work processes, services, and

products.  

7. Oral Communication: 

Speak persuasively, with intention and thought, in both positive and negative situations; fully

listen and get clarification; respond well to questions; demonstrate group presentation skills;

participate in meetings without dominating others. 

8. Written Communication: 

Write clearly and informatively; present numerical data effectively; read and interpret written

information; ensure adequate, effective communication with all team members to maintain

company values, goals, and culture. 

9. Quality: 

Demonstrate accuracy and thoroughness; look for ways to improve and promote quality;

monitor and self-correct own work processes and outcomes; apply feedback from others to

improve performance.  

Physical/Sensory Requirements (with or without the aid of mechanical devices)

Prolonged standing and walking required, with ability to lift up to 50 lbs and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient and family individualized psychosocial needs. Requires eye-hand coordination and manual dexterity.