Quality Assurance Specialist (RN) Weekends

Adaptive Home Health is building a higher-acuity, patient-centered home health model across Texas. Our QA RN role is critical to that mission: you ensure clinical accuracy, regulatory compliance, and optimal reimbursement while supporting field clinicians with actionable feedback and continuous quality improvement. Who We Are:
We build technology to better support our clinical operations and compliance teams.

Our documentation and QA workflows are designed to streamline OASIS review, reduce rework, and maintain defensible, high-quality submissions. If you have sharp clinical judgment, deep OASIS expertise, and you thrive in a remote, productivity-based environment, this role offers meaningful impact on patient outcomes and agency performance. What you will do:
Review and validate all assigned OASIS assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency

Code and sequence diagnoses per ICD-10 and CMS guidelines to ensure optimal reimbursement and quality measure alignment

Identify and correct errors impacting reimbursement, quality measures, or compliance before submission

Provide clear, actionable feedback to field clinicians when revisions are required, with a focus on education and process improvement

Ensure all OASIS submissions meet current CMS, Medicare, and payer requirements

Stay current on OASIS updates, CMS guidance, and regulatory changes; communicate relevant updates to clinical leadership

Support agency compliance with Conditions of Participation (CoPs) and internal quality standards

Identify recurring documentation trends or risk areas and contribute recommendations for clinician training and workflow optimization

Collaborate with clinical leadership to improve outcomes, reduce audit risk, and maintain defensibility

Complete assigned OASIS reviews within defined turnaround times while maintaining high accuracy standards

Communicate promptly and professionally with clinicians and leadership regarding discrepancies, missing documentation, or process improvements

Why Adaptive
Clear, performance-based comp: $35 per locked OASIS review—earn based on quality and productivity

Remote flexibility: Work from home with flexible hours designed to scale with agency census (Prefer Texas-based)

Mission-driven impact: Directly influence patient care quality, clinician development, and agency compliance

Strong operational support: Collaborate with experienced clinical and compliance leadership

Tech-forward environment: Leverage tools designed to streamline QA workflows and reduce administrative burden

Requirements
Must-haves
Active, unrestricted Texas RN license

Minimum 2 years of home health experience

ICD-10 Coding Certification (HCS-D or equivalent)

OASIS Certification (COS-C or equivalent)

Strong understanding of Medicare home health reimbursement and PDGM

High attention to detail and strong clinical judgment

Ability to work independently in a remote environment with minimal supervision

Excellent written and verbal communication skills

Proficiency with EMR systems (HCHB preferred) and Microsoft Office

Nice-to-haves
Prior experience in home health QA, auditing, or coding

Familiarity with Homecare Homebase (HCHB) or AXXESS

Experience working in a per-review or productivity-based role

Background in OASIS education or clinician training

Performance Expectations
Accurate and compliant OASIS reviews with minimal rework

Consistent turnaround times aligned with agency workflow needs

Clear, professional, and constructive communication with clinicians and leadership

Ongoing adherence to quality and compliance standards

Proactive identification of trends and process improvement opportunities

Physical & Technical Requirements
Ability to work at a computer for extended periods

Reliable high-speed internet access and secure, HIPAA-compliant workspace

Proficiency with EMR systems, Microsoft Office, and virtual communication tools (Slack, Zoom, etc.)

Equal Opportunity We are an equal opportunity employer and value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.