Quality Reviewer

CentraState Healthcare System

Quality Reviewer ensuring OASIS, ICD-10 coding, and home-care documentation accuracy for Atlantic Health. Providing clinical feedback, staff education, and quality improvement support.

Posted 8/17/2026full-timeRemote • New Jersey • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in OASIS accuracy, home care regulations, and ICD-10 coding, while providing clinical feedback and education to enhance documentation practices. Proficient in utilizing home care information systems and decision support software to optimize resource utilization for Medicare clients.

Highest-signal resume keywords

Current NJ RN LicenseCertified Home Care ExperienceOASIS CertificationICD-10 Coding CertificationKnowledge of Home Care Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Chart CodingOASIS Review485 Documentation ReviewResource Utilization OversightClinical Feedback Provision

Soft Skills

Staff EducationTrend IdentificationCross-TrainingCollaboration

Tools & Technologies

CRC Assessment ToolHome Care Information SystemsDecision Support Software

Certifications & Qualifications

Current NJ RN LicenseOASIS CertificationICD-10 Coding Certification

Industry Keywords

Home Care RegulationsCOPsMedicare ClientsQAPI ProgramPerformance Improvement Projects

About the role

Key responsibilities & impact

Provide timely review of SOC, ROC, and recertification documentation using the CRC assessment tool
Provide clinical feedback on OASIS accuracy and plans of care
Code charts based on primary and secondary reasons for home care
Review and advance 485 documentation in a timely manner
Use home care information systems and decision support software
Oversee resource utilization for Medicare clients and recommend resources matching patient needs
Provide feedback and education to clinical and intake staff regarding OASIS and documentation deficits
Notify managers of staff non-compliance and identify trends requiring staff education
Develop and implement individual and team educational sessions
Participate in the agency’s QAPI program and performance improvement projects
Cross-train, accept assignments supporting the agency, and assist with agency business growth
Attend continuing education related to OASIS review and ICD-10 coding

Requirements

What you’ll need

Current NJ RN or PT License
Three Years of Certified Home Care experience
Thorough knowledge of home care regulations and COPs
OASIS and Coding certification desirable

Benefits

Comp & perks

Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
Life & AD&D Insurance
Short-Term and Long-Term Disability (with options to supplement)
403(b) Retirement Plan: Employer match, additional non-elective contribution
PTO & Paid Sick Leave
Tuition Assistance, Advancement & Academic Advising
Parental, Adoption, Surrogacy Leave
Backup and On-Site Childcare
Well-Being Rewards
Employee Assistance Program (EAP)
Fertility Benefits, Healthy Pregnancy Program
Flexible Spending & Commuter Accounts
Pet, Home & Auto, Identity Theft and Legal Insurance