Home Health QA Reviewer

Rockstar Global Careers; Philippines; Sur place; PHP 360 000 - 600 000; Plein temps

Résumé du poste

Rockstar i is hiring a full-time Home Health QA Reviewer in the Philippines. The role performs daily quality assurance reviews of visits by nurses and therapists, seeking add-on codes to maximize revenue and ensure documentation accuracy.

Experience with WellSky in home health is preferred, and a nursing background with LPN or RN licensure is advantageous. The position involves high daily volume and strict adherence to documentation standards.

Qualifications

• Nursing background preferred and LPN/RN license required.
• Experience with WellSky in home health setting preferred.
• Ability to review visits, identify add-on codes to increase revenue.
• Ability to maintain high daily visit volume and accuracy.

Responsabilités

• Daily review of visits conducted by nurses and therapists.
• Verify documentation, orders, and plan of care alignment.
• Identify add-on codes to maximize revenue opportunities.
• Log coding findings and revenue impact for leadership.
• Communicate corrections and follow-up needs to clinicians.

Connaissances

Nursing background

Attention to detail

Quality assurance

Formation

LPN or RN license

Outils

WellSky

Description du poste

Rockstar i 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