WFH Home Health Care Coordinator | Quality assurance and Intake
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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
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