EXPERIENCED QA FOR HOME HEALTH AGENCY - THOUSAND OAKS, CA

Reviewed and audited patient charts for compliance with CMS, Medicare, Joint Commission, and agency regulations.
Ensured accuracy and completion of OASIS documentation, care plans, physician orders, and face-to-face encounter documentation.
Monitored clinician documentation for timeliness, accuracy, and regulatory compliance.
Assisted in maintaining agency readiness for state surveys and accreditation inspections.
Conducted quality improvement reviews and identified areas for clinical performance enhancement.
Collaborated with field clinicians, case managers, and physicians to ensure continuity and quality of patient care.
Tracked incident reports, hospitalizations, infections, falls, and patient outcomes for quality monitoring.
Provided staff education and training regarding documentation standards, compliance requirements, and quality initiatives.
Participated in utilization review, risk management, and performance improvement programs.
Verified appropriate coding and documentation to support accurate reimbursement and Medicare billing compliance.
Assisted with policy and procedure updates according to federal and state home health regulations.
Maintained confidentiality and compliance with HIPAA standards.