About US


Southwest Florida Home Health Care is a locally owned and operated agency which allows us to more readily identify the needs of our patients, employees, referral sources, and communities. We adhere to the mission of making a positive impact on our patients and our employees by providing services and care derived from superior ethical and clinical standards.

We also take pride in our stellar reputation in our industry, but more importantly, among our patients, their families and physicians. Our experienced and empathetic team of nurses, aides and other caregivers are fully dedicated to meeting needs of our patients, assisting them in achieving the highest level of health and function, and respecting their rights, privacy and dignity in the process.

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Position:  QA/Coder
Location:  Fort Myers, FL
Job Id:  193
# of Openings:  0

Job Title/Position:    QA/Coder
 
Reports to:                 Director of Nursing
 
 
Job Description Summary
 
The OASIS Review Nurse is a professional, registered nurse responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes.  This position will ensure appropriate ICD-9 coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues.
 
Essential Job Functions/Responsibilities
 
  1. Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
 
  1. Utilizes OASIS variation or alert reports when reviewing OASIS data.
 
  1. Ensures appropriate ICD-9 coding and sequencing as it relates to the patient’s medical condition, including any co-morbidities.
 
  1. Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy.
 
  1. Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
 
  1. Notifies organization leadership of problematic trends as a result of OASIS review.
 
  1. Works with managers to address trends that affect the agency’s outcome and process measures noted during OASIS review.
 
  1. Makes OASIS inter-rater reliability visits with clinical staff.
 
  1. Participates in Quality Improvement and Corporate Compliance activities as assigned.
 
  1. Assists with other chart audit activities as assigned.
 
  1. Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.
 
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job.The incumbents may be requested to perform job related tasks other than those stated in this description.
 
 
 
 

 

Position Qualifications

 
  1. Registered nurse with current license to practice professional nursing in the state.
 
  1. One (1) to two (2) years of clinical home health experience required.
 
  1. Working knowledge of OASIS and ICD-9 coding.  OASIS certification (COS-C) preferred; OASIS Home Health ICD-9 coding certification preferred.
 
  1. Knowledge of federal regulations and state licensure requirements.
 
  1. Working knowledge of computer systems.
 
  1. Possess and maintains current CPR certification.
 
  1. Licensed driver with automobile that is in good working order and insured in accordance with organization requirements.
 
  1. Excellent coordination and communication skills.
 
  1. Detail oriented and able to work with minimal supervision.

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Southwest Florida Home Care, Inc. | 239-275-5233 | Fort Myers, FL