Virtual Home Health Quality Assurance Coordinator

A new and growing United States-based, Medicare-certified home health agency, operational for less than one year, is seeking an experienced, organized, and detail-oriented Virtual Home Health Quality Assurance Coordinator.

A clinical background is required for this position.

The ideal candidate will have experience reviewing clinical documentation for a United States-based home health agency and be familiar with the Medicare Conditions of Participation, home health regulatory requirements, and CHAP accreditation standards.

The selected candidate will support the agency’s Quality Assurance and compliance program by reviewing clinical records, identifying documentation deficiencies, monitoring required corrections, and helping ensure that patient records meet Medicare, regulatory, accreditation, and agency standards.

We are seeking a dependable professional who can communicate respectfully with clinicians, manage multiple charts and deadlines, and support the agency’s commitment to quality patient care, regulatory compliance, and survey readiness.

Required Work Schedule
The selected candidate must be available to work full-time during the agency’s regular business hours in the California Pacific Time Zone.

The candidate must consistently follow California time, including seasonal changes between Pacific Standard Time and Pacific Daylight Time.

Primary Responsibilities

• Review home health clinical records for accuracy, completeness, consistency, and timely submission.
• Review Start of Care, Resumption of Care, Recertification, Transfer, Discharge, and routine visit documentation.
• Review skilled nursing, therapy, medical social work, and home health aide documentation as assigned.
• Review OASIS assessments for completeness and internal consistency.
• Confirm that documentation supports the patient’s skilled need, homebound status, diagnoses, ordered services, and plan of care.
• Review physician orders, plans of care, face-to-face documentation, medication profiles, assessments, and clinical visit notes.
• Identify missing, incomplete, conflicting, vague, late, or potentially noncompliant documentation.
• Review documentation for compliance with applicable Medicare Conditions of Participation, agency policies, and accreditation standards.
• Communicate required documentation corrections clearly, professionally, and respectfully.
• Track outstanding documentation and follow up until corrections are completed.
• Confirm that corrected documentation is appropriately completed, dated, and signed.
• Assist with prebilling clinical record reviews.
• Identify documentation concerns that may affect billing, reimbursement, compliance, or survey readiness.
• Maintain Quality Assurance logs, audit tools, correction trackers, and pending-documentation reports.
• Assist with chart audits, compliance monitoring, quality reports, and performance-improvement activities.
• Support preparation for CHAP accreditation surveys, Medicare reviews, and regulatory audits.
• Identify recurring documentation concerns and recommend areas for clinician education.
• Maintain patient confidentiality and comply with HIPAA and company privacy requirements.
• Participate in virtual meetings, training, quality initiatives, and workflow-improvement activities.

Required Qualifications

• Clinical background is required.
• Strong written and verbal English communication skills.
• Excellent attention to detail, organization, follow-up, and time-management skills.
• Ability to identify inconsistencies among assessments, physician orders, plans of care, and clinical visit documentation.
• Ability to communicate clinical documentation concerns professionally and respectfully.
• Ability to manage multiple charts, clinicians, deadlines, and competing priorities.
• Proficiency with electronic medical records, email , spreadsheets, virtual meeting platforms, and document-management systems.
• Ability to work independently while remaining responsive and accountable to agency leadership.
• Reliable computer, secure high-speed internet connection, quiet workspace, backup internet, and backup power source.
• Availability to work full-time during California Pacific Time business hours.

Preferred Experience
The following experience is strongly preferred:

• Previous experience with a United States-based Medicare-certified home health agency.
• Experience with the Medicare Conditions of Participation for Home Health Agencies.
• Familiarity with federal and state home health regulatory requirements.
• Experience with CHAP accreditation standards or accreditation survey preparation.
• Home health Quality Assurance, clinical documentation review, utilization review, compliance, case management, or chart-auditing experience.
• Familiarity with OASIS assessments, physician orders, plans of care, face-to-face documentation, homebound status, and skilled-need requirements.
• Experience reviewing nursing, therapy, and other interdisciplinary clinical documentation.
• Experience with prebilling clinical reviews and documentation-correction tracking.
• Knowledge of survey readiness, audit preparation, and performance-improvement processes.

Applicants with a strong clinical background and home health experience may be considered when they demonstrate the ability and willingness to learn specific Medicare and CHAP requirements.

Preferred Candidate
The preferred candidate will be:

• Experienced in United States home health Quality Assurance.
• Knowledgeable about Medicare home health documentation and compliance requirements.
• Familiar with OASIS assessments, plans of care, physician orders, and clinical visit documentation.
• Able to provide clear, accurate, and respectful feedback to clinicians.
• Organized, efficient, dependable, and able to meet established deadlines.
• Proactive in identifying documentation risks and following through until concerns are resolved.
• Comfortable communicating with nurses, therapists, physicians, office staff, and agency leadership.
• Interested in helping a new agency establish strong and sustainable Quality Assurance processes.

Compensation and Benefits

• Starting compensation of $10.00 USD per hour.
• Three paid holidays selected by the employee, subject to advance approval and appropriate staffing coverage.
• A December bonus equivalent to one month of regular base compensation, subject to satisfactory performance, active employment, and company policy.
• Eligibility for paid vacation after completing one full year of service.
• Eligibility for a compensation review after one year based on performance, attendance, reliability, expanded responsibilities, and the financial performance of the company.
• Training and professional growth opportunities as the agency expands.

How to Apply
Please submit the following materials to ---------- :

• A current résumé.
• A brief summary of your clinical background.
• A summary of your United States home health experience.
• Details regarding your experience with Quality Assurance, chart review, OASIS, clinical documentation, or regulatory compliance.
• A summary of your experience with Medicare Conditions of Participation or accreditation standards.
• A list of the home health electronic medical record systems you have used.
• Confirmation that you are available to work full-time during California Pacific Time business hours.
• Information regarding your computer, internet connection, backup internet, and backup power source.
• A brief explanation of why you are a strong candidate for this position.

Qualified applicants may be invited to participate in a virtual interview and complete a brief Quality Assurance or clinical documentation skills assessment.

We are committed to building a professional, collaborative, and supportive team. We value clinical accuracy, accountability, compliance, respectful communication, teamwork, and excellent patient care.

Compensation, benefits, work schedule, employment classification, bonus eligibility, and other terms will be confirmed in the final written agreement and administered in accordance with company policy and applicable requirements.