RN - HOME CARE UR COORDINATOR | UM HEALTH-SPARROW

General Purpose of Job:

Assess and provide guidance and review to clinical staff regarding clinical documentation for accuracy as it relates to Coding, OASIS, and plan of care development according to regulatory guidelines.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Participation, JCAHO standards, OASIS, and monitoring utilization of services for improving patient outcomes and agency profitability.
• Reviews plan of care and re-certification for medical necessity, clinical appropriateness, and completeness. Interprets data gathered to make recommendations for change as needed to support compliance issues.
• Conduct ICD-10 coding to ensure all regulatory guidelines are met
• Communicates with physicians, nurses, and other disciplines to establish a coordinate home care plan.
• Supports the performance improvement process through data collections as requested, by conducting chart audits and assisting in a variety of reports, using critical thinking skills.
• Conduct audits to include OASIS for accuracy, Plan of treatment review, and appropriate physician order review
• Communicates OASIS and Plan of Care edits to the appropriate caregiver in a timely manner to ensure timely completion of the OASIS to maintain regulatory compliance.
• Provide education and act as a resource to caregivers in the areas of coding, care plan development and OASIS accuracy.
• Other duties as assigned