Home Health Clinical Audit Nurse

About Tender Home Health

Tender Home Health is a forward-thinking Southern California–based home health agency dedicated to excellence in patient care and team growth. We pride ourselves on our dynamic, close-knit culture, professional development opportunities, and a genuine commitment to work-life balance.

We know our team is the heartbeat of our success, so we invest in career growth, celebrate wins, and foster a supportive environment. From team bonuses and mentorship to fun activities and recognition, we combine hard work with a culture of gratitude and collaboration.

The Role

We are seeking an Assistant Quality Assurance (QA) team member & Medicare Biller to assist a talented QA team, ensuring Medicare home health charts are accurate, compliant, and ready for billing. You will:

- Review patient charts for accuracy and completeness in compliance with Medicare and ICD-10 coding standards.

- Research and resolve Medicare rejections, appeal low reimbursements, and implement process improvements.

- Learn (or apply your knowledge of) Medicare billing processes, including claim submission and error prevention.

- Collaborate closely with clinical staff to correct documentation issues and prevent future errors.

This role is ideal for someone with US-based home health experience who loves detailed work, problem-solving, and leading a team to excellence.

Qualifications

Required:

- Supervisory experience — managing, training, and developing a team.

- US Home Health experience — patient management, medical documentation, and clinician support.

- Strong knowledge of Medicare regulations and medical documentation requirements.

- Proficiency in ICD-10 coding and chart review for reimbursement.

- Research skills — especially in resolving Medicare rejections and billing errors.

- Tech-savvy with the ability to learn new EMR systems.

- Advanced Microsoft Excel skills.

- Excellent communication skills in English (written and spoken).

- Licensed Vocational Nurse (LVN), Registered Nurse (RN) License

Preferred qualifications:

- Previous experience in Medicare billing and claims submission.

- Experience with Wellsky EMR

Serious candidates only. If you want to apply, send an email to and in the subject put "QA/Coder/Biller Sup". Also attach your resume and answer the following questions:

• Please list your availability for a video interview in US Pacific Times. Please give a wider range with various days and times during Pacific business hours (8:00 am - 6:00 pm)
• Do yo have a valid Nursing license?
• Please confirm if you are selected for an interview, you are comfortable with being on video and role playing. Also confirm that if you cannot make the video you will notify the interviewer prior.
• How many years of Home Health Coding experience do you have?
• Please also confirm you accept the hours - US Pacific time 9:00 am to 6:00 pm, or 7:00 am to 4:00 pm. Please confirm you have reliable Internet.
• How many years of Home Health QA experience do you have?
• How many years of Kinnser / Wellsky experience do you have?
• How many years of Axxess experience do you have?

Key Behaviors for Success

- Detail-Oriented – catches errors before they become problems.

- Tenacious & Goal-Oriented – thrives on solving challenges.

- Growth Mindset – eager to learn and improve.

- Collaborative – works well across cultures and time zones.

- Proactive – takes initiative without waiting to be told.

Day-to-Day Activities

- Lead and manage the QA team to achieve accuracy and productivity targets.

- Prepare daily work assignments, review reports, and track progress.

- Review and audit Medicare home health charts for compliance and completeness.

- Apply ICD-10 coding and ensure documentation supports billing requirements.

- Research and resolve claim rejections, underpayments, and outlier cases.

- Maintain records of recurring issues for staff training and process improvement.

- Collaborate with the clinical team to address chart deficiencies.

- Submit Medicare claims and monitor for accuracy.

Compensation

• $900 per month plus additional bonus performance-based incentives

Job Type: Full-time

Pay: From Php48,000.00 per month

Application Question(s):

• Please also confirm that you accept the hours - US Pacific time 9AM-6PM or 7AM-4PM, and that you have a reliable internet connection with back-up.

Experience:

• home health: 2 years (Required)
• medical billing: 2 years (Required)
• ICD10/Coding: 2 years (Required)
• WellSky/Kinnser: 2 years (Required)
• Axxess: 2 years (Required)

License/Certification:

• Nursing license (Required)

Work Location: Remote