$35 per OASIS review (paid per locked OASIS)
The Home Health Quality Assurance Registered Nurse (QA RN) is responsible for coding, reviewing, validating, and correcting OASIS assessments to ensure clinical accuracy, regulatory compliance, and optimal reimbursement. This role supports agency performance by improving documentation quality, reducing payment risk, and ensuring adherence to CMS, Medicare, and payer guidelines.
This is an adaptive, remote-friendly role designed to scale with agency census and workflow needs.
Review all assigned OASIS assessments (SOC, ROC, Recert, Transfer, Discharge) for:
Accuracy, completeness, and internal consistency
Proper clinical coding and scoring
Alignment with visit documentation and orders
Validate diagnosis coding and sequencing per CMS guidelines
Identify and correct errors impacting reimbursement, quality measures, or compliance
Provide clear, actionable feedback to clinicians when revisions are required
Ensure OASIS submissions meet current CMS, Medicare, and payer requirements
Maintain awareness of OASIS updates, CMS guidance, and regulatory changes
Support agency compliance with Conditions of Participation (CoPs)
Identify recurring documentation trends or risk areas
Contribute recommendations for clinician education and process improvement
Collaborate with clinical leadership to improve outcomes and reduce audit risk
Complete assigned OASIS reviews within defined turnaround times
Maintain high accuracy standards while meeting productivity expectations
Communicate promptly regarding discrepancies or missing documentation
Active, unrestricted Registered Nurse (RN) license
Minimum 2 years of home health experience
ICD10 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 or hybrid environment
Prior experience in home health QA, auditing, or coding
Familiarity with common home health EMRs (HCHB, AXXESS, etc.)
Experience working in a per-review or productivity-based role
Accurate and compliant OASIS reviews with minimal rework
Consistent turnaround times
Clear, professional communication with clinicians and leadership
Ongoing adherence to quality and compliance standards
Ability to work at a computer for extended periods
Reliable internet access and secure workspace
Proficiency with EMR systems and Microsoft Office