Quezon City - Home Health QA Reviewer

placeQuezon City 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.
apartmentQualitestplaceManila, 10 km from Quezon City
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