Home Health QA Reviewer - Manila

placeManila scheduleFull-time calendar_month 

About TAIO

TAIO is a bespoke BPO that builds and manages teams for companies around the world, from various

industries including healthcare, non-life insurance, IT Consultancy among others. Our mission is to connect

people who work together to grow and become successful.

Responsibilities and Duties
  • Audit OASIS documentation, including SOC (Start of Care), ROC (Resumption of Care),
Recertification, Discharge, and Transfer.
  • Review clinical notes and ensure necessary corrections have been made before final approval.
  • Approve corrected OASIS entries and ensure documentation aligns with Medicare and PDGM
standards.
  • Enter any missing medications based on referral documents.
  • Create CMS 485 / Plan of Care and generate required physician’s orders.
  • Conduct OASIS checks and perform detailed analysis of documentation quality.
  • Audit Skilled Nurse Visit (SNV) notes and send back corrections to clinicians as needed.
  • Collaborate with clinicians to maintain documentation accuracy and regulatory compliance.
Requirements
  • Registered Nurse (RN) with a valid nursing license.
  • Degree in Nursing (Associate or Bachelor’s degree).
  • In-depth knowledge of Medicare guidelines, PDGM, and ICD-10 coding.
  • Strong grasp of clinical documentation standards, quality assurance practices, and regulatory
requirements.
  • Ability to work independently with minimal supervision, as well as collaboratively within a team.
  • Excellent communication, interpersonal, and analytical skills.
  • Prior experience in home health QA reviewing or clinical auditing is a plus.
apartmentOmega Healthcare Management Services Inc.placeManila
with at least a year of Home Health coding experience (Level 2 – Primary Oasis / Level 3 – Extended Oasis with POC).  •  Candidates with BCHH-C Certification (Board Certificate Home Health -Coding) has plus advantage. If no BCHH certification – the candidate...
apartmentOmega Healthcare Management Services Inc.placeQuezon City, 10 km from Manila
with at least a year of Home Health coding experience (Level 2 – Primary Oasis / Level 3 – Extended Oasis with POC).  •  Candidates with BCHH-C Certification (Board Certificate Home Health -Coding) has plus advantage. If no BCHH certification – the candidate...
placeQuezon City, 10 km from Manila
in home health QA reviewing or clinical auditing is a plus....