Home Health QA

Job Overview
We are seeking a dedicated and detail-oriented Home Health Quality Assurance (QA) Specialist to ensure the highest standards of compliance, safety, and quality in home health services. In this vital role, you will oversee adherence to federal and state regulations, including HIPAA privacy rules, Medicare requirements, FDA regulations, and JCAHO standards. Your expertise will help maintain the integrity of clinical documentation, coding accuracy, and overall program compliance. This position offers an exciting opportunity to impact patient care quality while ensuring organizational excellence in a dynamic healthcare environment.

Duties

• Conduct comprehensive audits of home health documentation to verify accuracy and compliance with HIPAA, Medicare, and JCAHO standards.
• Review clinical records for proper CPT coding, ICD-9 and ICD-10 coding accuracy, ensuring correct billing and reimbursement processes.
• Monitor adherence to FDA regulations related to medical devices and pharmaceuticals used in home health settings.
• Develop and implement quality assurance protocols that align with regulatory requirements and industry best practices.
• Collaborate with clinical teams to address compliance gaps, provide training on documentation standards, and promote continuous improvement initiatives.
• Maintain detailed records of audits, findings, corrective actions, and follow-up activities to support organizational accountability.
• Stay current with evolving healthcare regulations and industry standards to proactively update QA procedures.

Experience

• Proven experience in healthcare quality assurance or compliance management within a home health or similar setting.
• Strong knowledge of HIPAA privacy rules, Medicare guidelines, FDA regulations, and JCAHO accreditation standards.
• Familiarity with CPT coding, ICD-9/ICD-10 coding systems, and ICD coding best practices for accurate billing and documentation.
• Demonstrated ability to interpret healthcare regulations and translate them into actionable QA processes.
• Excellent analytical skills with attention to detail for conducting thorough audits and assessments.
• Effective communication skills to collaborate across multidisciplinary teams and deliver training on compliance topics.
• Prior experience managing or supporting compliance programs in a regulated healthcare environment is highly preferred. Join us as a Home Health QA Specialist and play a crucial role in elevating patient care quality through rigorous compliance oversight! Your expertise will help ensure our services meet the highest standards while fostering a culture of continuous improvement rooted in regulatory excellence.

Pay: From $28.00 per hour

Work Location: In person