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Home Health QA Coordinator

Acclaim Home Health
locationWorcester, MA, USA
PublishedPublished: 6/14/2022
Technology
Full Time

Job Description

Job DescriptionPosition Summary

Acclaim Home Health is seeking an experienced QA Coordinator to oversee and ensure the accuracy, compliance, and quality of clinical documentation in accordance with state, federal, and payer regulations. The QA Coordinator plays a critical role in supporting high-quality patient care by reviewing OASIS assessments, ensuring accurate coding, and promoting regulatory compliance and best practices across the organization.

Key Responsibilities

  • Review OASIS assessments for accuracy, completeness, and compliance with CMS guidelines

  • Ensure correct clinical coding (ICD-10) and documentation consistency

  • Identify trends, errors, and risk areas; provide feedback and education to clinical staff

  • Collaborate with clinicians, leadership, and billing to improve documentation quality and outcomes

  • Monitor compliance with Medicare Conditions of Participation and other regulatory requirements

  • Assist with audits (internal and external) and performance improvement initiatives

  • Stay current on OASIS updates, coding changes, and regulatory requirements

Qualifications

  • OASIS Certification required

  • Proven coding experience, including ICD-10 coding in a home health setting

  • Prior experience in home health quality assurance, clinical review, or utilization review preferred

  • Strong knowledge of Medicare regulations and home health compliance standards

  • Excellent attention to detail and analytical skills

  • Strong communication and collaboration skills

  • Ability to work independently and manage multiple priorities

Preferred Credentials

  • RN, LVN/LPN, or other licensed clinical background (preferred but not required, if applicable)

  • Previous experience with QA audits and performance improvement programs

Why Join Acclaim Home Health?

At Acclaim Home Health, we are committed to delivering exceptional patient-centered care while supporting our team members with a positive and professional work environment.

Acclaim Home Health is an Equal Opportunity Employer (EEO). We celebrate diversity and are committed to creating an inclusive environment for all employees.

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