Home Health QA Reviewer

Rockstar

Metro Manila

Remote

PHP 3,277,000 - 4,789,000

Full time

9 days ago

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Job summary

Rockstar is hiring a full-time Home Health QA Reviewer for a remote, daily quality assurance review of visits conducted by nurses and therapists. You will search for add-on codes to increase revenue while ensuring documentation accuracy and compliance with Medicare home health standards.

The ideal candidate has experience using WellSky in a home health setting; a nursing background with LPN or RN licensure is preferred. This role offers a dynamic, global impact and growth opportunities.

Qualifications

  • Experience using WellSky in a home health setting.
  • Nursing background preferred (LPN or RN).
  • Experience reviewing home health visit documentation.

Responsibilities

  • Daily Visit Review: review visits by nurses and therapists for accuracy.
  • Coding & Revenue: search for add-on codes to increase revenue.
  • Documentation Corrections & Follow-Up: identify missing or conflicting docs and guide corrections.
  • Reporting & Compliance: track errors and prepare summaries; ensure Medicare home health standards.

Skills

Attention to detail
Documentation review
Communication
Organization

Education

LPN license
RN license

Tools

WellSky

Job description

  • Work Experience WellSky, Home Health, Quality Assurance, Visit Review, Clinical Documentation Review, Home Health Coding, Add-On Codes, Revenue Optimization, Medicare Home Health, Plan of Care, OASIS, LPN, RN, Documentation Audit, Compliance, Attention to Detail
  • Remote Job
About Us

Rockstar is an industry-leading staffing company based in Arizona that helps healthcare businesses across the United States streamline operations by connecting them with skilled remote professionals. We partner with talented individuals from around the world, providing meaningful remote career opportunities that empower personal and professional growth.

At Rockstar, we are committed to placing team members who not only meet our clients' operational needs but who also reflect our core values of integrity, excellence, and long-term service. Every placement is an opportunity to make a meaningful difference, for the practice, for patients, and for you.

Job Description

This is a remote position.

Rockstar is hiring a full-time Home Health QA Reviewer on behalf of a home health company.

This role is a daily quality assurance review of all visits conducted by the company’s nurses and therapists. While reviewing each visit, the reviewer searches for additional add-on codes that can be applied to increase revenue. The visit volume makes this a full-time position on its own.

The ideal candidate has experience using WellSky in a home health setting. A nursing background is preferred, and either an LPN or an RN license works.

About the Client

Our client is a home health company that provides care to patients in their homes through a team of nurses and therapists. They complete a high volume of visits every day and are building out quality assurance to keep documentation accurate and make sure each visit is coded fully.

Key Responsibilities

Daily Visit Review

  • Review all visits conducted by nurses and therapists each day
  • Check visit notes for accuracy and completeness
  • Confirm each visit matches the physician orders and plan of care
  • Verify that visit frequency and duration follow the orders
  • Check that required documentation is in place, including signatures, dates, and visit times
  • Keep up with a high daily volume of visits

Coding & Revenue

  • Search each visit for additional add-on codes
  • Flag coding opportunities that increase revenue for the agency
  • Check that diagnosis and billing codes match the documentation
  • Keep a log of add-on codes found and the revenue impact

Documentation Corrections & Follow-Up

  • Identify missing, unclear, or conflicting documentation
  • Send visits back to the clinician for correction with clear notes on what to fix
  • Track each correction through to completion
  • Communicate findings to clinicians and agency staff

Reporting & Compliance

  • Track common errors by clinician and by discipline
  • Prepare daily and weekly summaries of visits reviewed, errors found, and revenue opportunities
  • Share trends with leadership so the team can improve documentation
  • Follow Medicare home health documentation standards
  • Escalate compliance concerns to leadership
  • Keep records organized and ready for audits

Tools & Systems

  • WellSky
Requirements
  • Experience using WellSky in the home health setting
  • Nursing background preferred, LPN or RN
  • Experience reviewing home health visit documentation
  • Working knowledge of home health codingAttention to detail and accuracy across a high volume of visits
  • Clear communication and strong organization
  • OASIS experience is a plus
  • Competitive salary commensurate with experience.
  • Opportunities for professional development and growth.
  • Work in a dynamic and supportive team environment.
  • Make a meaningful impact by helping to build and strengthen families across the Globe
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