Francisco Pita Jr
Lancaster
Summary
Detail-oriented Quality Assurance Reviewer with more than 10 years of experience with expertise in evaluating OASIS data and ensuring compliance with industry standards. Committed to enhancing accuracy and precision in patient care documentation.
Analytical Quality Assurance Reviewer known for strong decision-making and critical thinking skills. Experienced in reviewing patient care plans and clinician performance, ensuring adherence to protocols and enhancing operational efficiency.
Overview
10
10
years of professional experience
Work History
Quality Assurance/OASIS Reviewer/Medical Biller
Optimal Home Health
19720 Ventura Blvd., Suite C, Woodland Hills CA 9
03.2016 - Current
- Check patients referral for Home Health appropriateness and eligibility.
- Check and review OASIS data entry for correctness and completeness to properly generate plan of care.
- Check the appropriateness of the assigned clinicians for maximum coverage of patient care.
- Check the correctness and appropriateness of the visit frequencies of all the clinicians involved in the patient care.
- Check the appropriateness and correctness of clinicians notes entry as pertinent to the patient care.
- Check the correctness and appropriateness of the MD orders as relevant to the patient care.
- Check the correctness and appropriateness of the patient chart for proper billing.
- Reviewed patient care plans to ensure compliance with industry regulations and quality standards.
- Evaluated caregiver performance, providing constructive feedback to enhance service delivery.
- Collaborated with interdisciplinary teams to develop and implement best practices for patient assessments.
- Mentored junior reviewers, fostering skill development and promoting adherence to protocols.
- Led quality assurance initiatives, enhancing reliability of service outcomes through systematic evaluations.
Education
Bachelor of Science - Nursing
Divine Word University
Philippines03-1995
Skills
- Proofreading
- Email communication
- Attention to detail
- Adaptability and flexibility
- Decision-making
- Accuracy and precision
- Critical thinking
- Work prioritization
- Deadline attainment
- Team collaboration
Timeline
Quality Assurance/OASIS Reviewer/Medical Biller
Optimal Home Health
03.2016 - Current
Bachelor of Science - Nursing
Divine Word University