Quality Assurance RN, Weekends

🔥 3 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $35 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔧 QA Engineer (Quality Assurance)

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Adaptive Home Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2020

👥 B2C

🤝 B2B

B2C • B2B

Adaptive Home Health is an employee-owned, Texas-based home health provider delivering skilled nursing, specialty wound and infusion care, physical and occupational therapy, and orthopedic rehabilitation to patients in their homes. Led by a team of veterans and nurses, the company partners with hospitals, physician groups, wound centers and research institutions across North Texas, Austin, Houston and other Texas regions, is Medicare- and VA-accepted, and operates a 24/7 billing and patient advocacy hotline to support high-acuity and post-hospital recovery care. Adaptive emphasizes patient-focused, in-home clinical services with a large full-time clinical staff and regional offices across Texas.

📋 Description

• 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

• 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 Microsoft Office • Prior experience in home health QA, auditing, or coding • Familiarity with Homecare Homebase (HCHB) or AXXESS • Experience working in a per-review or productivity-based role • Background in OASIS education or clinician training

🏖️ Benefits

• 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