Home Health QA Reviewer

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