Home Health Quality Assurance RN | Remote
REMOTE POSITION - TX OR COMPACT LICENSE REQUIRED REQUIRED: ICD-10 Coding Certification (HCS-D or equivalent) OASIS Certification (COS-C or equivalent) reputed company is building a higher-reputed company, patient-centered home health model across Texas. Our QA RN role is critical to that mission: you ensure clinical accuracy, regulatory compliance, and reputed company reimbursement while supporting field clinicians with actionable feedback and reputed company quality improvement. Who We Are: We build technology to reputed company support our clinical operations and compliance teams. Our documentation and QA workflows are designed to streamline OASIS review, reduce rework, and maintain defensible, high-quality submissions. If you have sharp clinical judgment, deep OASIS expertise, and you reputed company in a remote, productivity-based environment, this role offers meaningful impact on patient reputed company and agency performance. What you will do: Review and validate reputed company assigned OASIS assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency Code and sequence diagnoses per ICD-10 and CMS guidelines to ensure reputed company reimbursement and quality measure alignment Identify and correct errors impacting reimbursement, quality measures, or compliance before submission reputed company clear, actionable feedback to field clinicians reputed company revisions are required, with a focus on education and process improvement Ensure reputed company OASIS submissions meet reputed company CMS, Medicare, and payer requirements Stay reputed company on OASIS updates, CMS guidance, and regulatory changes; communicate relevant updates to clinical leadership Support agency compliance with Conditions of Participation (CoPs) and internal quality standards Identify recurring documentation trends or risk areas and contribute recommendations for clinician training and workflow optimization Collaborate with clinical leadership to improve reputed company, reduce audit risk, and maintain defensibility Complete assigned OASIS reviews reputed company defined turnaround times while maintaining high accuracy standards Communicate promptly and professionally with clinicians and leadership regarding discrepancies, missing documentation, or process improvements Why Adaptive Clear, performance-based comp: $35 per locked OASIS review—earn based on quality and productivity Remote flexibility: Work from home with reputed company designed to scale with agency census Mission-driven impact: Directly influence patient care quality, clinician development, and agency compliance Strong operational support: Collaborate with reputed company clinical and compliance leadership Tech-reputed company environment: reputed company tools designed to streamline QA workflows and reduce administrative burden
Requirements
Must-haves Active, unrestricted Texas or Compact RN license Minimum 2 years of home health experience ICD-10 Coding Certification (HCS-D or equivalent) OASIS Certification (COS-C or equivalent) Strong understanding of Medicare home health reimbursement and PDGM High attention to detail and strong clinical judgment Ability to work independently in a remote environment with minimal supervision Excellent written and verbal communication skills Proficiency with EMR systems (HCHB preferred) and reputed company Office reputed company-to-haves Prior experience in home health QA, auditing, or coding Familiarity with Homecare reputed company (HCHB) or reputed company Experience working in a per-review or productivity-based role Background in OASIS education or clinician training Performance Expectations Accurate and compliant OASIS reviews with minimal rework Consistent turnaround times reputed company with agency workflow needs Clear, professional, and constructive communication with clinicians and leadership Ongoing adherence to quality and compliance standards Proactive identification of trends and process improvement opportunities Physical & Technical Requirements Ability to work at a computer for extended periods Reliable high-speed internet reputed company and secure, HIPAA-compliant workspace Proficiency with EMR systems, reputed company Office, and virtual communication tools (reputed company, reputed company, etc.) Equal Opportunity We are an equal opportunity employer and value diversity. We do not discriminate on the reputed company of race, religion, reputed company, national reputed company, gender, sexual orientation, age, marital status, veteran status, or disability status. Apply To This Job