QA Specialist

This role serves as a high level clinical quality and training leader within the Coding & OASIS review space. It goes beyond day to day quality checks and focuses on elevating reviewer performance, supporting client onboarding, aligning processes across teams, and partnering closely with both stateside and offshore reviewers. Acting as a key resource to managers, clients, and Quality Assurance Reviewers (QARs), this role ensures consistent quality outcomes, strong operational alignment, and a seamless reviewer experience across all supported programs.

About Netsmart

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.

OASIS QA Specialist

This role serves as a high-level clinical quality and training leader within the Coding & OASIS review space. It goes beyond day-to-day quality checks and focuses on elevating reviewer performance, supporting client onboarding, aligning processes across teams, and partnering closely with both stateside and offshore reviewers. Acting as a key resource to managers, clients, and Quality Assurance Reviewers (QARs), this role ensures consistent quality outcomes, strong operational alignment, and a seamless reviewer experience across all supported programs.

Responsibilities

• Oversee Coding & OASIS staff competency to ensure accuracy, consistency, and compliance with guidelines.
• Develop and deliver new-hire orientation and ongoing training, including client-specific processes and updates.
• Conduct Quality Assurance (QA) reviews, document findings, identify trends, and collaborate closely with QARs performing day-to-day QA.
• Serve as the expert resource for complex Coding & OASIS questions and maintain updated knowledge resources.
• Partner with managers, clients, and internal teams to support client onboarding, quality discussions, and process alignment.
• Work collaboratively with both stateside and offshore (India-based) review teams to support training, quality standards, and workflow consistency.
• Test and provide feedback on McBee Clinical Review platform functionality.
• Communicate quality concerns to all appropriate stakeholders and support resolution actions.

Required Qualifications

• At least 4 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
• Proficient in home health industry regulations and guidelines
• Excellent communication and presentation skills
• Working knowledge of Microsoft Office

Preferred Qualifications

• Advanced clinical degree
• Active clinical license (e.g., RN, PT, OT, SP)
• CPHQ certification
• HCS-H certification

#LI-EW1

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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