RN Quality Reviewer

Company: ProPivotal
Location: Boston
Posted on: April 22, 2025

Job Description:

RN Quality ReviewerWhy You'll Love This Role:

• Competitive Pay - $77K - $100K per year based on experience
• Mostly Remote - Report on site only a couple times per month
• Great Work-Life Balance - Work a consistent Monday-Friday schedule
• Top Workplace Recognition - 5-time Boston Globe Top Places to Work
• Strong Benefits Package - Medical & Dental on Day 1, 403b, Generous PTO
• Professional Growth - Tuition Reimbursement program & Career Development with top-tier affiliationsThis is a non-patient facing position. As a Quality Reviewer, you will play a key role in supporting the Agency's Quality and Safety Department by ensuring regulatory compliance, enhancing coding and OASIS accuracy, performing thorough documentation reviews, and providing ongoing education to staff.Key Responsibilities:
  • Review OASIS assessments and clinical notes to ensure regulatory compliance
  • Ensure ICD-10 coding accuracy and correct sequencing of diagnoses
  • Conduct quality audits on clinical records for service utilization and compliance
  • Train and educate clinicians on OASIS documentation accuracy
  • Participate in QAPI and quality assurance programsRequired Experience:
    • 5+ years of Nursing experience as an RN
    • Experience with ICD-10 coding and OASIS documentation
    • Leadership experience in a healthcare or home health settingPreferred Experience:
      • OASIS Documentation Certification
      • Experience in home health or hospice care
      • Strong team collaboration and communication skillsRequired Skills:
        • Proficiency in ICD-10 coding and sequencing
        • Strong understanding of OASIS documentation and regulatory compliance
        • Ability to conduct quality audits and clinician educationPreferred Skills:
          • Experience in clinical training and staff education
          • Knowledge of healthcare quality improvement programs
          • Strong analytical and problem-solving abilities
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Keywords: ProPivotal, Chicopee , RN Quality Reviewer, Healthcare , Boston, Massachusetts