Clinical Documentation Specialist RN

Clinical Documentation Specialist

The Clinical Documentation Specialist is responsible for the quality review of all OASIS documents and review of key elements of the Plan of Care to ensure CMS program compliance is met. The Clinical Documentation Specialist works closely with the Manager of Quality Improvement and Home Health leadership to promote regulatory compliance and excellent patient outcomes and reimbursement. The Clinical Documentation Specialist serves as a role model and OASIS expert to Home Health staff across the region.

This is a remote position. Work schedule M- F 8am to 5pm PST. With a rotating schedule weekend and holidays.

Position Specific Responsibilities

• Works in a virtual team environment in a manner that promotes team cohesiveness, efficiency, and productivity.
• Responsible for the timely review and processing of Start of Care, Resumption of Care, Recertification, and Significant change in Condition Home Health OASIS Assessment documents and key elements of the Plan of Care.
• Collaborates with leadership to analyze performance trends in OASIS accuracy; assists in determining learning needs for clinical staff.
• Educates and provides feedback to clinical staff in regard to correct completion of OASIS documents.
• Reviews of all OASIS data items and ensures accuracy of OASIS based outcome measures to reflect accurate Home Health Quality of Care Star rating and Value Based Purchasing OASIS Based component of TPS.
• Ensures Regulatory compliance with all OASIS conventions.
• Ensures timely processing of all OASIS documents to meet CMS guidelines and CMS billing requirements.

Education and/or Experience

• Required - Ability to align work schedule with Pacific Time Zone business hours.
• Required - Education to meet certification, license or registration requirement.
• Required - 2 years Clinical Experience as a Registered Nurse
• Required - 1 year Home Health Clinical Experience as an RN.
• Required - 1 year demonstrated proficiency in Home Health OASIS Review including all types of OASIS.
• Required - 1 year Experience with an Electronic Medical Record (EMR) system.
• Preferred - OASIS Certification.
• Preferred – Experience using Homecare Homebase (HCHB) EMR.

Certifications, Licenses, and Registrations

• Required – Must be a licensed Registered Nurse in state of California.

Compensation range: $80,000 - $90,000

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Compassus offers a comprehensive benefits package including, Medical, Dental, Vision, 401k and much more.

At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.

Your Career Journey Matters We're dedicated to helping you grow and succeed. Whether you're pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.

The Compassus Advantage• Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. • Career Development: Access leadership pathways, mentorship, and personalized professional development.• Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.• Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.• Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.• A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.

Ready to Join? At Compassus, your career is more than a job—it's an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.