Job Summary:
Performance Home Health is seeking an experienced, detail-oriented Quality Assurance (QA) Registered Nurse (RN) to join our growing team. This fully remote position is responsible for reviewing clinical documentation to ensure accuracy, completeness, timeliness, and compliance with Medicare regulations, agency policies, and payer requirements. The ideal candidate is highly organized, self-motivated, and able to work independently with minimal supervision while maintaining strong communication and collaboration with clinical staff. This role is critical in supporting quality patient care, regulatory compliance, and timely reimbursement.
Essential Responsibilities
• Review clinical documentation, including Start of Care (SOC), Recertifications, Discharges, Therapy Evaluations, Re-evaluations, and routine skilled nursing visits for accuracy, completeness, and regulatory compliance.
• Ensure documentation clearly supports the patient's skilled need, homebound status, interventions, and continuity of care.
• Verify visit frequencies, physician orders, and Plan of Care (POC) are accurate and aligned.
• Return documentation requiring corrections within 24 hours to support timely processing and billing.
• Monitor compliance with documentation submission requirements: 24 hours for Start of Care (SOC) and Recertifications and 48 hours for routine clinical visits
• Identify documentation trends, deficiencies, and compliance concerns, and provide constructive feedback and education to clinicians.
• Collaborate with Clinical Managers, Case Managers, Therapy, Intake, and Billing departments to promote workflow efficiency and regulatory compliance.
• Review discharge documentation to ensure all required assessments and discharge summaries are completed.
• Maintain clear, professional communication with clinicians regarding documentation corrections and follow-up.
• Support agency quality improvement initiatives through ongoing documentation review and education.
• Maintain strict compliance with HIPAA regulations and agency confidentiality standards.
Required Experience
(Applicants MUST meet all of the following qualifications):
• Active Registered Nurse (RN) license in Texas or a Compact Multistate License.
• Minimum 2 years of recent home health nursing experience.
• Minimum 1 year of home health coding experience.
• Minimum 2 years of full-time Home Health Quality Assurance (QA) experience.
• Ability to work independently with minimal supervision while managing multiple priorities.
• Strong organizational, computer, and time management skills.
• Experience using KanTime or other home health Electronic Medical Record (EMR) systems.
• Experience providing clinician education and documentation feedback.
Preferred Experience
• OASIS documentation and home health documentation standards.
Knowledge & Skills
• Exceptional attention to detail.
• Strong analytical, critical thinking, and problem-solving abilities.
• Excellent written and verbal communication skills.
• Ability to manage a high-volume workload while meeting deadlines.
• Strong understanding of home health regulations, coding principles, and compliance requirements.
• Collaborative mindset with the ability to build positive working relationships across departments.
• High level of accountability, professionalism, and integrity.
Performance Expectations
The successful candidate will consistently:
• Maintain a high level of documentation accuracy and regulatory compliance.
• Reduce documentation deficiencies through timely and thorough chart reviews.
• Support timely billing by ensuring documentation is reviewed and returned promptly.
• Meet established productivity and quality benchmarks.
• Demonstrate professionalism, accountability, and reliability while working remotely.
• Contribute to continuous quality improvement initiatives.
Work Environment
• Fully remote position.
• Reliable high-speed internet and a dedicated, distraction-free home office are required.
• Availability during standard business hours.
• Daily communication through Microsoft Teams, email, and phone.
• Participation in virtual meetings, training sessions, and departmental collaboration is required.
Why Join Performance Home Health?
At Performance Home Health, quality patient care begins with quality clinical documentation. We foster a collaborative and supportive environment where accountability, teamwork, and excellence are valued.
We offer:
• Supportive and collaborative leadership.
• Clearly defined expectations and structured workflows.
• Opportunities for professional growth and development.
• A culture focused on accountability, quality, and continuous improvement.
• The opportunity to make a meaningful impact on patient care, compliance, and operational success.
Benefits
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Paid Time Off (PTO)