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Quality Assurance RN
Adaptive Home HealthQuality Assurance RN ensuring clinical accuracy and regulatory compliance for home health. Collaborate with clinical operations and provide actionable feedback for continuous improvement.
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 Michigan 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
- Prior experience in home health QA, auditing, or coding (Nice-to-haves)
Benefits
Comp & perks- Clear, performance-based comp: $35 per locked OASIS review—earn based on quality and productivity
- 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
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10 codingOASIS assessmentshome health reimbursementquality measure alignmentdocumentation trends analysisworkflow optimizationaudit risk reductionclinical judgmentreimbursement error correctionprocess improvement
Soft Skills
attention to detailindependent workcommunication skillsactionable feedbackcollaborationeducational focusprofessionalismproblem-solvingorganizational skillstime management
Certifications
Michigan RN licenseICD-10 Coding CertificationOASIS Certification