Job Overview

Our client is seeking a Home Health Care Coordinator with a clinical background and hands-on quality assurance experience in a US Medicare-certified home health agency. Clinical QA review is the primary function of this role; the individual will also support intake, scheduling, and prior authorizations.

Schedule: Remote, Part Time | Monday to Friday, 10:30 AM to 3:30 PM Eastern time (5 hours/day)

Responsibilities 

Clinical QA Review (Primary Focus)

• Review clinical records for completeness, accuracy, and Medicare compliance before billing
• Audit OASIS assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy and consistency with clinical documentation
• Review plans of care for complete orders, physician signatures, and alignment with visit frequencies
• Verify homebound status and face-to-face encounter documentation are supported in the record
• Identify documentation deficiencies, communicate corrections to clinicians, and track to resolution
• Track outstanding physician orders and signatures; flag missed visits and frequency deviations
• Support CHAP survey readiness and Medicare audit/ADR record preparation

Intake, Scheduling & Prior Authorizations

• Process referrals, verify insurance eligibility, and confirm required admission documents are received
• Obtain, track, and renew prior authorizations for Medicare Advantage and commercial payers
• Coordinate clinician visit schedules and manage reschedules and cancellations

Requirements

• Clinical Background: RN strongly preferred; PT, OT, or LPN considered
• Experience: Minimum 2 years of experience in a Medicare-certified home health agency in the US
• QA Expertise: Demonstrated experience performing clinical QA/chart review for home health
• Regulatory Knowledge: Working knowledge of OASIS, Medicare Conditions of Participation (42 CFR 484), and PDGM
• Technical Skills: Experience with a home health EMR (e.g., WellSky/Kinnser, HCHB, Axxess, or similar)
• Communication: Excellent written and spoken English; comfortable communicating with clinicians and physician offices
• Compliance & Setup: HIPAA knowledge, willingness to sign confidentiality and security agreements, reliable high-speed internet, and a private, secure workspace
• Preferred: OASIS certification (COS-C or HCS-O)
• Preferred: CHAP or Joint Commission survey experience
• Preferred: Prior authorization experience with Medicare Advantage plans

Independent Contractor Perks

• Immediate hiring
• Permanent work from home

Note

Please click the "Apply" button to complete your application, including the assessment questions, technical check, portfolio link and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

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