The OASIS Reviewer prospectively reviews assessments to ensure accuracy, completeness, and compliance with federal and state regulations. The role involves collaborating with clinicians to resolve data integrity issues and identifying trends that impact reimbursement and quality outcomes.
The Pennant Group
4 Remote Job Openings at The Pennant Group
The Pre-Bill Review Specialist conducts comprehensive audits of patient charts to ensure documentation accuracy and compliance before claim submission. They collaborate with clinical and billing teams to resolve documentation gaps and verify insurance authorizations to prevent denials.
The Billing and Collections Lead oversees billing and collections operations, ensuring accurate and compliant reimbursement while managing accounts receivable. This role includes leading teams, managing claim submissions, and developing collections strategies.
The OASIS Reviewer analyzes the data integrity and consistency of OASIS documentation and assessment processes, prospectively reviewing all OASIS assessments for appropriateness, completeness, and compliance with regulations and policy. This role involves consulting with clinical staff to clarify data issues, making corrections, and reporting utilization concerns to management.