Remote Clinical QA Nurse — Documentation & Compliance

Hammerjack Pty Ltd; Philippines; Remote; PHP 558,000 - 781,000; Full time

Job summary

Hammerjack Pty Ltd is seeking a detail-oriented Clinical Documentation Quality Reviewer to join our team. The role focuses on ensuring SOC/POC documentation is complete, accurate, and clinically appropriate, and that physician orders align with patient records.

You will conduct routine QA audits of patient records, identify trends, deliver clear feedback, and support process improvements to reduce documentation errors while adhering to company policies and healthcare standards.

Qualifications

• Experience in home health, healthcare documentation, clinical review, utilization review, medical auditing, or quality assurance.
• Strong understanding of nursing documentation and clinical terminology.
• Proven experience in Start of Care (SOC), Plans of Care (POC), and physician/MD orders.
• Experience with electronic medical records (EMR/EHR) is preferred.
• Strong attention to detail and ability to identify inconsistencies or missing information.
• Excellent written and verbal communication skills.
• Active Philippine Registered Nurse License

Responsibilities

• Review Start of Care (SOC) and admission documentation for completeness, accuracy, and clinical appropriateness.
• Review Plans of Care (POCs) to ensure that patient needs, diagnoses, goals, interventions, frequency, and services are appropriately documented.
• Review physician/MD orders for completeness, accuracy, signatures, dates, and consistency with the patient's clinical documentation.
• Verify that clinical documentation supports the services and care being provided to the patient.
• Identify missing, inconsistent, or incomplete documentation and coordinate with the appropriate team for correction.
• Ensure documentation follows established company policies, client requirements, and applicable healthcare standards.
• Conduct routine audits of patient records and clinical documentation.
• Identify trends, recurring documentation issues, and areas of compliance risk.
• Document audit findings and provide clear feedback to the appropriate team members.
• Assist in developing and maintaining QA checklists, audit tools, and quality standards.
• Participate in process improvement initiatives designed to improve documentation quality and reduce errors.
• Escalate significant clinical or documentation concerns to the appropriate supervisor or clinical leadership.

Skills

Home health experience

Healthcare documentation

Clinical review

SOC/POC experience

Utilization review

Medical auditing

Nursing documentation

Attention to detail

Written communication

Verbal communication

Education

Philippine Registered Nurse License

Tools

EMR/EHR experience

Job description

Hammerjack Pty Ltd is seeking a detail-oriented Clinical Documentation Quality Reviewer to join our team. The role focuses on ensuring SOC/POC documentation is complete, accurate, and clinically appropriate, and that physician orders align with patient records.

You will conduct routine QA audits of patient records, identify trends, deliver clear feedback, and support process improvements to reduce documentation errors while adhering to company policies and healthcare standards.