Home Health Coding & Quality Assurance Specialist

Home Nursing & Therapy Services; San Antonio (TX); Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

Competitive compensation

Flexible/remote work environment

Professional growth and continuing教育

Job summary

Home Nursing & Therapy Services is seeking a Home Health Coding & QA Specialist with strong expertise in home health coding, QA, and RCD compliance. The role focuses on ensuring accurate coding, documentation review, and regulatory success in Texas.

Responsibilities include CMS guideline-based coding, OASIS validation, and QA oversight to ensure audit-ready documentation. Collaboration with clinicians and leadership will drive continuous quality improvements.

Qualifications

• HCS-D Certification required.
• OASIS certification preferred.
• RN or LVN license strongly preferred.
• Minimum 2 years’ experience in home health coding and QA.
• Solid knowledge of CMS guidelines, home health regulations, and RCD requirements.

Responsibilities

• Review and code home health records in alignment with CMS guidelines, ICD-10 coding rules, and agency policies.
• Conduct OASIS data validation and ensure documentation accuracy for clinical and billing compliance.
• Oversee QA processes, identifying and correcting documentation deficiencies before submission.
• Manage RCD compliance processes, ensuring documentation packets are audit-ready and complete.
• Collaborate with clinical staff to provide feedback and education on documentation improvement.
• Track and report coding/QA metrics to leadership for continuous improvement.

Skills

Attention to detail

Analytical skills

Communication with clinicians

Education

HCS-D Certification

OASIS certification

Job description

About Us:

At HNTS, we are dedicated to delivering exceptional post-acute care services that put patients and families first. We support hospitals, ACOs, and community partners with innovative care solutions including transitional care, telehealth, and specialized post-acute programs. Our team thrives on integrity, precision, and a shared commitment to improving outcomes for the communities we serve.

The Role:

We are seeking a Home Health Coding & QA Specialist with strong expertise in home health coding, Quality Assurance (QA), and Review Choice Demonstration (RCD) compliance. The ideal candidate is meticulous, compliance-driven, and passionate about supporting clinicians with accurate coding and documentation review that ensures both patient care quality and regulatory success.

Key Responsibilities:

• Review and code home health records in alignment with CMS guidelines, ICD-10 coding rules, and agency policies.
• Conduct OASIS data validation and ensure documentation accuracy for clinical and billing compliance.
• Oversee QA processes, identifying and correcting documentation deficiencies before submission.
• Manage RCD compliance processes, ensuring documentation packets are audit-ready and complete.
• Collaborate with clinical staff to provide feedback and education on documentation improvement.
• Track and report coding/QA metrics to leadership for continuous improvement.

Qualifications:

• HCS-D Certification required.
• OASIS certification preferred.
• Active clinical license RN or LVN strongly preferred.
• Minimum of 2 years’ experience in home health coding and QA.
• Solid knowledge of CMS guidelines, home health regulations, and RCD requirements.
• Strong attention to detail, analytical skills, and ability to communicate effectively with clinicians.

What We Offer:

• Competitive compensation.
• Flexible/remote work environment.
• Opportunity to work with a mission-driven team improving care outcomes in Texas.
• Professional growth and continuing education support.
• Benefits, Health, Dental, Vision, Paid Time Off.