Home Health Quality Assurance Registered Nurse

🕒 March 18

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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 all assigned OASIS assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency. • Proper clinical coding and scoring. • Validation of diagnosis coding and sequencing per CMS guidelines. • Provide clear, actionable feedback to clinicians when revisions are required. • Ensure OASIS submissions meet current CMS, Medicare, and payer requirements. • Identify recurring documentation trends or risk areas and contribute recommendations for improvement.

🎯 Requirements

• 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.