Remote Home Health Clinical QA Coordinator - Part-Time

BruntWork; Manila; Remote; PHP 1,910,000 - 3,038,000; Part time

Benefits offered by this job

Immediate hiring

Permanent work from home

Job summary

BruntWork seeks a Home Health Care Coordinator with a clinical background and hands-on QA experience for a US Medicare-certified home health agency. The primary focus is clinical QA review, with support for intake, scheduling, and prior authorizations.

This remote, part-time role runs Monday to Friday, 10:30 AM–3:30 PM Eastern time (5 hours daily). Strong English communication, HIPAA compliance, and EMR familiarity are required.

Qualifications

• Minimum 2 years of experience in a Medicare-certified home health agency in the US.
• RN strongly preferred; PT/OT/LPN considered.
• Demonstrated experience performing clinical QA/chart review for home health.
• Working knowledge of OASIS, 42 CFR 484, and PDGM.

Responsibilities

• Perform clinical QA review of records for completeness, accuracy, and Medicare compliance before billing.
• Audit OASIS assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy and consistency with clinical documentation.
• Review plans of care for complete orders, physician signatures, and alignment with visit frequencies.
• Verify homebound status and face-to-face encounter documentation are supported in the record.
• Identify documentation deficiencies, communicate corrections to clinicians, and track to resolution.
• Track outstanding physician orders and signatures; flag missed visits and frequency deviations.
• Support CHAP survey readiness and Medicare audit/ADR record preparation.
• Process referrals, verify insurance eligibility, and confirm required admission documents are received.
• Obtain, track, and renew prior authorizations for Medicare Advantage and commercial payers.
• Coordinate clinician visit schedules and manage reschedules and cancellations.

Skills

Clinical background

Excellent English

Communication with clinicians

Education

RN

PT/OT/LPN considered

Tools

WellSky/Kinnser

HCHB

Axxess

Job description

BruntWork seeks a Home Health Care Coordinator with a clinical background and hands-on QA experience for a US Medicare-certified home health agency. The primary focus is clinical QA review, with support for intake, scheduling, and prior authorizations.

This remote, part-time role runs Monday to Friday, 10:30 AM–3:30 PM Eastern time (5 hours daily). Strong English communication, HIPAA compliance, and EMR familiarity are required.