Quality Assurance Specialist, RN – Weekends

Adaptive Home Health

Quality Assurance Specialist ensuring accurate OASIS assessments and compliance. Collaborating with clinical teams to improve outcomes in a tech-forward remote environment.

Posted 5/27/2026full-timeTexas • 🇺🇸 United StatesJuniorMid-Level💰 $35 per reviewWebsite

About the role

Key responsibilities & impact

Review and validate all 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 optimal reimbursement and quality measure alignment
Identify and correct errors impacting reimbursement, quality measures, or compliance before submission
Provide clear, actionable feedback to field clinicians when revisions are required, with a focus on education and process improvement
Ensure all OASIS submissions meet current CMS, Medicare, and payer requirements
Stay current 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 outcomes, reduce audit risk, and maintain defensibility
Complete assigned OASIS reviews within defined turnaround times while maintaining high accuracy standards
Communicate promptly and professionally with clinicians and leadership regarding discrepancies, missing documentation, or process improvements

Requirements

What you’ll need

Active, unrestricted Texas 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 Microsoft Office

Benefits

Comp & perks

Remote flexibility: Work from home with flexible hours designed to scale with agency census
Mission-driven impact: Directly influence patient care quality, clinician development, and agency compliance
Strong operational support: Collaborate with experienced clinical and compliance leadership
Tech-forward environment: Leverage tools designed to streamline QA workflows and reduce administrative burden

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

ICD-10 codingOASIS assessmentsMedicare home health reimbursementPDGMquality measure alignmenterror correctiondocumentation trends analysisworkflow optimizationclinical judgmentprocess improvement

Soft Skills

attention to detailindependent workcommunication skillsactionable feedbackcollaborationeducational focusprofessionalismproblem-solvingtime managementtraining recommendations

Certifications

Texas RN licenseICD-10 Coding Certification (HCS-D or equivalent)OASIS Certification (COS-C or equivalent)