Home Health QA Reviewer
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- Probably Worldwide
- Work type
- Remote
- Posted
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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 coding
- Attention to detail and accuracy across a high volume of visits
- Clear communication and strong organization
- OASIS experience is a plus
Benefits
- 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